| NPI | 1922516475 |
|---|---|
| Former Legal Business Name | DALLIN C. YOUNG, DDS, PA |
| Entity Type | Organization |
| Authorized Contact | DALLIN YOUNG President Owner 208-404-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |