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Individual

DR. JEFFREY A YOUNGQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
777 N 500 W, SUITE #201-A, PROVO, UT 84601-1541
(385) 204-2222
(801) 375-0200
Mailing address
777 N 500 W, SUITE #201-A, PROVO, UT 84601-1541
(385) 204-2222
(801) 375-0200

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
55319
CA
1223G0001X
General Practice Dentistry
Primary
5941796
UT
1223G0001X
General Practice Dentistry
D12167
MN

Other

Enumeration date
01/30/2006
Last updated
03/13/2012
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