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Organization
YOUNG & YOUNG DENTAL
Active
Organization
YOUNG & YOUNG DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A YOUNG JR D.M.D. (DENTIST)
(502) 499-9770
Entity
Organization
Contact information
Practice address
4906 BARDSTOWN RD, SUITE 106, LOUISVILLE, KY 40291-1759
(502) 499-9770
(502) 499-9796
Mailing address
4906 BARDSTOWN RD, SUITE 106, LOUISVILLE, KY 40291-1759
(502) 499-9770
(502) 499-9796
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6037
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60060373
—
KY
Enumeration date
06/26/2008
Last updated
06/26/2008
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