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Individual
YOUNG-IL JO
Active
Individual
YOUNG-IL JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
110565
CA
122300000X
Dentist
42139
TX
1223G0001X
General Practice Dentistry
Primary
110565
CA
1223G0001X
General Practice Dentistry
Primary
42139
TX
Other
Enumeration date
05/16/2024
Last updated
03/18/2026
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