| Young Kidz Dental | |
|
14210 Se Sunnyside Rd Ste 100 Clackamas OR 97015-5241 | |
| (503) 658-3384 | |
| (503) 658-1817 |
| Full Name | Young Kidz Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14210 Se Sunnyside Rd Ste 100, Clackamas, Oregon |
| Authorized Official Name and Position | Todd M Young (OWNER) |
| Authorized Official Contact | 5036583384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Kidz Dental 14210 Se Sunnyside Rd Ste 100 Clackamas OR 97015-5241 Ph: (503) 658-3384 | Young Kidz Dental 14210 Se Sunnyside Rd Ste 100 Clackamas OR 97015-5241 Ph: (503) 658-3384 |
| NPI Number | 1023222643 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023222643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D8094 (Oregon) | Primary |
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