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Individual
DR. JUSTIN M YOUNG
Active
Individual
DR. JUSTIN M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS035364
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
71076
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS035364
PA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
MD 20008-0800
NM
Other
Enumeration date
05/14/2007
Last updated
12/18/2013
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