Individual
DR. ANDREW M. YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
309 MARKET ST, SONRISA OLD CITY DENTAL ARTS, LLC, PHILADELPHIA, PA 19106-2100
(215) 923-1881
(215) 923-1336
Mailing address
309 MARKET ST, SONRISA OLD CITY DENTAL ARTS, LLC, PHILADELPHIA, PA 19106-2100
(215) 923-1881
(215) 923-1336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027323-L
PA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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