Organization
MOOSE'S TOOTH CHILDREN'S DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALLIN YOUNG DDS (OWNER/PRESIDENT)
(208) 404-9888
Entity
Organization
Contact information
Practice address
167 S SANTA CLAUS LN STE B, NORTH POLE, AK 99705-7755
(907) 268-6644
(907) 268-6670
Mailing address
114 MINNIE ST STE A, FAIRBANKS, AK 99701-3000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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