Organization
STANLEY A. YOUNG D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY A YOUNG D.D.S. (PRESIDENT)
(260) 493-3526
Entity
Organization
Contact information
Practice address
6038 E STATE BLVD, FORT WAYNE, IN 46815-7639
(260) 493-3526
(260) 749-8033
Mailing address
6038 E STATE BLVD, FORT WAYNE, IN 46815-7639
(260) 493-3526
(260) 749-8033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12007190
IN
Other
Enumeration date
05/21/2007
Last updated
08/30/2007
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