Individual
HENRY COMSTOCK YOUNGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
132 MONROE ST, SUITE B, MONDOVI, WI 54755-1731
(715) 419-1240
Mailing address
132 MONROE ST, SUITE B, MONDOVI, WI 54755-1731
(715) 419-1240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000119
WI
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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