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Individual

DR. PEGGY JEAN YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
(816) 448-2945
Mailing address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
(816) 448-2945

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
012562
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400586103
MO
Enumeration date
08/09/2006
Last updated
04/07/2011
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