Individual
DR. DIRK T. DE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1222 2ND ST, MARYSVILLE, WA 98270-4907
(360) 653-2783
(360) 653-3328
Mailing address
1222 2ND ST, MARYSVILLE, WA 98270-4907
(360) 653-2783
(360) 653-3328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5034160
—
WA
01
—
57652
WDS
WA
01
—
DE5381
REGENCE BLUE SHIELD
WA
Enumeration date
09/26/2006
Last updated
07/09/2007
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