Organization
YOUNG FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI YOUNG (OWNER)
(417) 529-0688
Entity
Organization
Contact information
Practice address
2640 E 32ND ST STE 6, JOPLIN, MO 64804-4303
(417) 781-3440
(417) 708-0781
Mailing address
2640 E 32ND ST STE 6, JOPLIN, MO 64804-4303
(417) 781-3440
(417) 708-0781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16111
MO
Other
Enumeration date
10/05/2017
Last updated
02/09/2018
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