Individual
DR. DENNIS YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4800 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4953
(941) 405-1504
Mailing address
4800 LAKEWOOD RANCH BLVD, BRADENTON, FL 34211-4953
(941) 405-1504
(941) 405-1675
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17244
TX
Other
Enumeration date
05/05/2008
Last updated
03/11/2020
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