Individual
MATTHEW YEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3590 OLD ALABAMA RD, JOHNS CREEK, GA 30022-3200
(770) 998-3838
Mailing address
9200 ROBIN LYNN CT, MANASSAS, VA 20110-4264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A62725254
DRIVERS LICENSE
VA
Enumeration date
03/01/2019
Last updated
10/24/2023
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