Individual
DR. HARRY E YOUNGKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
483 W. SEED FARM RD., SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
P.O. BOX 38, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5458
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711045
—
AZ
01
—
AZ0479070
BCBS PROVIDER NUMBER
AZ
Enumeration date
10/24/2006
Last updated
12/03/2015
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