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1457005654
BLAKE YOUNG
WINSTON SALEM, NC
NPI
1457005654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 12743)
Enumeration Date
2022-02-07
Last Update Date
2022-08-02
Business Address
BLAKE YOUNG
1000 SOUTHPARK BLVD STE C
WINSTON SALEM, NC 27127-5072
Phone number: 336-788-5073
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Mailing Address
BLAKE YOUNG
1000 SOUTHPARK BLVD
WINSTON SALEM, NC 27127-5072
Phone number:
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