| NPI | 1952877557 |
|---|---|
| Former Name | LEAH MICHELLE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 10224) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12013069A) |
| 1223G0001X Dentist, General Practice (Licence: IN 12013069A) | |
| 1223G0001X Dentist, General Practice (Licence: KY 10224) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2020-08-12 |