Individual
GRANT RICHARD YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
609 JACKSON, GRANT R YOUNG DDS, WAUSAU, WI 54403
(715) 845-6222
(715) 845-6222
Mailing address
609 JACKSON, GRANT R YOUNG DDS, WAUSAU, WI 54403
(715) 845-6222
(715) 845-6222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0003201
WI
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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