Individual
DR. PHILIP EUGENE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4919 DOUGLAS AVE, SUITE 10, DES MOINES, IA 50310-2775
(515) 278-2010
(515) 278-1944
Mailing address
4919 DOUGLAS AVE, SUITE 10, DES MOINES, IA 50310-2775
(515) 278-2010
(515) 278-1944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6467
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223354
—
IA
Enumeration date
03/05/2007
Last updated
07/08/2007
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