BLAKE YOUNG

WINSTON SALEM, NC
NPI1457005654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  12743)
Enumeration Date2022-02-07
Last Update Date2022-08-02
Business Address
BLAKE YOUNG
1000 SOUTHPARK BLVD STE C
WINSTON SALEM, NC 27127-5072
Phone number: 336-788-5073
Mailing Address
BLAKE YOUNG
1000 SOUTHPARK BLVD
WINSTON SALEM, NC 27127-5072
Phone number: