Individual
ADAM JASON YOUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1103 SOUTH SHIELDS STREET, FORT COLLINS, CO 80521-4524
(970) 484-3213
(970) 484-4007
Mailing address
1103 SOUTH SHIELDS STREET, FORT COLLINS, CO 80521-4524
(970) 484-3213
(970) 484-4007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7594
CO
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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