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Individual

JOSEPH B. YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
21668 HIGHWAY 99E NE, AURORA, OR 97002-9200
(503) 678-7787
Mailing address
21668 HIGHWAY 99E NE, AURORA, OR 97002-9200
(503) 678-7787

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
143
HI
1223G0001X
General Practice Dentistry
Primary
D9430
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
534819
HI
Enumeration date
07/13/2009
Last updated
04/21/2021
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