Peter Young D D S Inc | |
301 W Huntington Dr Suite 217 Arcadia CA 91007-3462 | |
(626) 445-2536 | |
(626) 445-0127 |
Full Name | Peter Young D D S Inc |
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Speciality | Dentist |
Location | 301 W Huntington Dr, Arcadia, California |
Authorized Official Name and Position | Peter S Young (OWNER) |
Authorized Official Contact | 6264452536 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peter Young D D S Inc 301 W Huntington Dr Suite 217 Arcadia CA 91007-3462 Ph: (626) 445-2536 | Peter Young D D S Inc 301 W Huntington Dr Suite 217 Arcadia CA 91007-3462 Ph: (626) 445-2536 |
NPI Number | 1366732745 |
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Provider Enumeration Date | 04/19/2011 |
Last Update Date | 09/08/2023 |
Medicare PECOS PAC ID | 8426232315 |
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Medicare Enrollment ID | O20110419000144 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366732745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 36123 (California) | Primary |
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