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Organization
YOUNG AND SHORT, A DENTAL CORPORATION
Active
Organization
YOUNG AND SHORT, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY P YOUNG SR. DDS (PRESIDENT OWNER)
(909) 861-2661
Entity
Organization
Contact information
Practice address
646 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1037
(909) 861-2661
(909) 861-6951
Mailing address
646 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1037
(909) 861-2661
(909) 861-6951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31170
CA
1223P0221X
Pediatric Dentistry
32662
CA
Other
Enumeration date
10/11/2006
Last updated
06/12/2012
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