Goodman Young Pllc

NPI #1659819605 in Elizabeth, Colorado

Provider Information

NPI Number: 1659819605
Entity Type: Organization
Organization Name: Goodman Young Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 9, 2017
Last Updated: Feb 9, 2017

Practice Location

Address: 796 E. KIOWA AVE.
Address 2: SUITE H12
City: Elizabeth
State: Colorado
ZIP Code: 80107
Phone: (303) 646-3940

Authorized Official

Name: MATTHEW ORVAL YOUNG, D.D.S.
Title: OWNER/DENTIST
Phone: (303) 646-3940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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