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General NPI Number Information
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NPI Number | 1457218034
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Entity Type | Organization
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Legal Business Name | CARL W. YOUNGQUIST, D.D.S, P.S.
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 106 CALISTOGA ST W
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City | ORTING
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State | WA
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Zip | 98360-2097
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Country | US
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Telephone | 360-893-2122
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | ORTING
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State | WA
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Zip | 98360-0249
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Country | US
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Telephone | 360-893-2122
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DENTIST OWNER
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Name | DR. CARL WESLEY YOUNGQUIST
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Credential | DDS
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Telephone | 253-278-7522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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