Individual
MR. MARK C YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS INC
Contact information
Practice address
314 SO 12TH AVE, SUITE #3, YAKIMA, WA 98902-3149
(509) 453-4504
(509) 573-4941
Mailing address
314 SO 12TH AVE, SUITE #3, YAKIMA, WA 98902-3149
(509) 453-4504
(509) 573-4941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0595
WASHINGTON DENTAL SERVICE
WA
01
—
207871100000
PREMERA BLUE CROSS
WA
Enumeration date
08/31/2006
Last updated
07/08/2007
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