NPI | 1922545979 |
---|---|
Doing Business As | YOUNG DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CHRYSTLE C CU Owner 650-703-9378 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 57287) |
Enumeration Date | 2017-01-30 |
Last Update Date | 2017-01-30 |