Individual
GAIL A YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5910 ULALI DR NE, KEIZER, OR 97303-1500
(503) 931-7246
Mailing address
5910 ULALI DR NE, KEIZER, OR 97303-1500
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
93-0798039
OR
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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