Organization
YOUNG DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J YOUNG (PRESIDENT)
(805) 270-9322
Entity
Organization
Contact information
Practice address
1705 BRANHAM LN STE B4, SAN JOSE, CA 95118-5222
(408) 264-7630
Mailing address
1705 BRANHAM LN STE B4, SAN JOSE, CA 95118-5222
(805) 270-9322
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/07/2020
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