Organization
TEMPE MODERN DENTISTRY, LLP
Active
Other names
Tempe Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN D YOUNG DMD (OWNER)
(480) 345-4017
Entity
Organization
Contact information
Practice address
1835 E GUADALUPE RD STE C-107, TEMPE, AZ 85283-3277
(480) 345-4017
(480) 345-3526
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/15/2010
Last updated
10/09/2012
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