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Individual

DR. DONALD GALE YOUNGBAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1617 MAIN ST, FORSYTH, MT 59327-0068
(406) 346-2131
(406) 346-2133
Mailing address
PO BOX 68, FORSYTH, MT 59327-0068
(406) 346-2131
(406) 346-2133

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1537
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0115726
MT
01
15374
BLUE CROSS
MT
01
8660
STATE BOARD MN
MN
Enumeration date
11/08/2006
Last updated
07/08/2007
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