Organization
DALLIN C. YOUNG, D.D.D, P.A.
Active
Other names
Children's Dentistry of Twin Falls
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALLIN CLIFFORD YOUNG D.D.S. (PRESIDENT)
(208) 733-9331
Entity
Organization
Contact information
Practice address
1186 EASTLAND DR N, SUITE B, TWIN FALLS, ID 83301-8973
(208) 733-9331
(208) 732-1222
Mailing address
1186 EASTLAND DR N, SUITE B, TWIN FALLS, ID 83301-8973
(208) 733-9331
(208) 732-1222
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D-3874-PD
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807215900
—
ID
Enumeration date
07/01/2008
Last updated
07/01/2008
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