Organization
GOODMAN YOUNG PLLC
Active
Other names
Timberline Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ORVAL YOUNG D.D.S. (OWNER/DENTIST)
(303) 646-3940
Entity
Organization
Contact information
Practice address
796 E. KIOWA AVE., SUITE H12, ELIZABETH, CO 80107
(303) 646-3940
Mailing address
PO BOX 1169, 796 E. KIOWA AVE. SUITE H12, ELIZABETH, CO 80107
(303) 646-3940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9908
CO
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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