Organization
NIPOMO DENTAL GROUP OF ANDREW YOUNG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW YOUNG DDS (PRESIDENT)
(805) 270-9322
Entity
Organization
Contact information
Practice address
255 N WILSON ST STE D, NIPOMO, CA 93444-7830
(805) 270-9322
Mailing address
PO BOX 309, NIPOMO, CA 93444-0309
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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