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NPI Code Detail

MEDICARE: DR. MELISSA KATHRYN YOUNG DDS

MEDICARE: DR. MELISSA KATHRYN YOUNG DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDE60416185WA

General Provider Information

NPI Number : 1932494085
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA KATHRYN YOUNG DDS
Provider Business Mailing Address
First Line : 326 S STILLAGUAMISH AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1652
Country : US
Telephone Number : 603-572-5430
Fax Number : 360-572-5431
Provider Business Practice Location Address
First Line : 326 S STILLAGUAMISH AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1652
Country : US
Telephone Number : 603-572-5430
Fax Number : 360-572-5431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2011
Last Update Date : 07/26/2021

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