| Peter Young D D S Inc | |
|
301 W Huntington Dr Ste 217 Arcadia CA 91007-1529 | |
| (626) 445-2536 | |
| (626) 445-0127 |
| Full Name | Peter Young D D S Inc |
|---|---|
| Speciality | Dentist |
| Location | 301 W Huntington Dr Ste 217, Arcadia, California |
| Authorized Official Name and Position | Peter S Young (OWNER) |
| Authorized Official Contact | 6264452536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Young D D S Inc 301 W Huntington Dr Ste 217 Arcadia CA 91007-1529 Ph: (626) 445-2536 | Peter Young D D S Inc 301 W Huntington Dr Ste 217 Arcadia CA 91007-1529 Ph: (626) 445-2536 |
| NPI Number | 1366732745 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/14/2025 |
| Medicare PECOS PAC ID | 8426232315 |
|---|---|
| Medicare Enrollment ID | O20110419000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366732745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Secondary |
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