Most Relevant Information
Provider Data
NPI Number: | 1003026907 |
Provider Name: | TRENTON YOUNG |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | D6601 |
Most Important Dates
Enumeration Date: | 05/22/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
1257 WALLACE RD NW
SALEM
OR
973043007
Practice Location Phone/Fax
Phone: | 5033630292 |
Fax: |
Provider Mailing Location
1257 WALLACE RD NW
SALEM
OR
973043007
Provider Mailing Phone/Fax
Phone: | |
Fax: |