Individual
DR. JORDAN D YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
109 S 65TH AVE STE 104, RIDGEFIELD, WA 98642-3708
(360) 887-2333
Mailing address
510 ALLEN ST, KELSO, WA 98626-4139
(360) 887-2333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D8952
OR
122300000X
Dentist
Primary
DE00011193
WA
Other
Enumeration date
08/19/2007
Last updated
03/15/2016
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