| NPI | 1225052020 |
|---|---|
| Former Name | DENISE ANNE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN14692) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN14692) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-10-11 |