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Individual
SUSAN E YOUNG
Active
Individual
SUSAN E YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS0000006900
TN
122300000X
Dentist
Primary
DS036634
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014835950001
—
PA
05
—
1014835950003
—
PA
05
—
1014835950004
—
PA
05
—
1014835950005
—
PA
05
—
1014835950006
—
PA
05
—
2609449
—
OH
Enumeration date
12/30/2005
Last updated
10/10/2022
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