GRANT RICHARD YOUNG

WAUSAU, WI
NPI1740388644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  0003201)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
-- GRANT RICHARD YOUNG DDS
609 JACKSON GRANT R YOUNG DDS
WAUSAU, WI 54403
Phone number: 715-845-6222
Mailing Address
-- GRANT RICHARD YOUNG DDS
609 JACKSON GRANT R YOUNG DDS
WAUSAU, WI 54403
Phone number: 715-845-6222
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