Individual
COLIN ARCHIBALD YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
601 E BROADWAY ST, CUSHING, OK 74023-3432
(918) 285-5500
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(191) 898-8099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7096
OK
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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