Organization
DEYOUNG DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER DEYOUNG DDS (ORGANIZER, DENTIST)
(907) 795-5054
Entity
Organization
Contact information
Practice address
2601 BONIFACE PARKWAY SUITE 1, ANCHORAGE, AK 99504
(907) 795-5054
Mailing address
2601 BONIFACE PKWY STE 1, ANCHORAGE, AK 99504-3144
(907) 795-5054
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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