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Organization
NIPOMO DENTAL GROUP OF ANDREW YOUNG DDS INC
Active
Organization
NIPOMO DENTAL GROUP OF ANDREW YOUNG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW YOUNG DDS (PRESIDENT)
(805) 270-9322
Entity
Organization
Contact information
Practice address
255 N WILSON ST STE D, NIPOMO, CA 93444-7830
(805) 270-9322
Mailing address
PO BOX 309, NIPOMO, CA 93444-0309
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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