Organization
AMY K. DEYOUNG, DDS, MS, PC PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY K DEYOUNG DDS, MS (OWNER)
(616) 447-7900
Entity
Organization
Contact information
Practice address
3297 EAGLE RUN DR. NE, GRAND RAPIDS, MI 49525
(616) 447-7900
(616) 447-7902
Mailing address
3297 EAGLE RUN DR. NE, GRAND RAPIDS, MI 49525
(616) 447-7900
(616) 447-7902
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16365
MI
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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