Individual
DR. CARL WESLEY YOUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 CALISTOGA ST W, ORTING, WA 98360
(360) 893-2122
(360) 893-2902
Mailing address
1911 19TH ST SE, PUYALLUP, WA 98372-7123
(253) 845-2342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009088
WA
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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