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Individual
RONALD LEE YOUNG
Active
Individual
RONALD LEE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53384
STATE LICENSE
CA
Enumeration date
08/20/2008
Last updated
08/20/2008
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