| De Young Dental Associates, Pllc | |
|
1869 Porter St Sw Wyoming MI 49519-1709 | |
| (616) 532-7601 | |
| Not Available |
| Full Name | De Young Dental Associates, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1869 Porter St Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Randall Scott De Young (CEO) |
| Authorized Official Contact | 6168213851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Young Dental Associates, Pllc 1869 Porter St Sw Wyoming MI 49519-1709 Ph: () - | De Young Dental Associates, Pllc 1869 Porter St Sw Wyoming MI 49519-1709 Ph: (616) 532-7601 |
| NPI Number | 1720704729 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720704729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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