Organization
WAVERLY FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN PAUL YOUNG DDX (DOCTOR)
(319) 352-6600
Entity
Organization
Contact information
Practice address
1404 3RD ST SW, WAVERLY, IA 50677-4300
(319) 352-6600
(319) 352-6605
Mailing address
1404 3RD ST SW, WAVERLY, IA 50677-4300
(319) 352-6600
(319) 352-6605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7775
IA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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