| NPI | 1871185975 |
|---|---|
| Doing Business As | CRYSTAL SMILE DENTAL DENTAL PRACTICE OF COLIN YOUNG DMD INC |
| Entity Type | Organization |
| Authorized Contact | COLIN YOUNG President 702-715-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |