Individual
MRS. NICHELLE MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
3635 BRASELTON HWY, SUITE C, DACULA, GA 30019-1068
(678) 714-7575
Mailing address
770 HOUNDS RIDGE CT, LAWRENCEVILLE, GA 30043-4079
(678) 522-1363
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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