Individual
BENJAMIN YOUNG AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9900 SW GREENBURG RD, STE 240, TIGARD, OR 97223-5502
(888) 468-0022
Mailing address
442 SW UMATILLA AVE, STE 200, REDMOND, OR 97756-7039
(541) 504-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10061
OR
122300000X
Dentist
DE60013040
WA
Other
Enumeration date
07/17/2008
Last updated
01/21/2015
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