Individual
DR. ANITA B YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
180 MONTGOMERY ST, SUITE 2450, SAN FRANCISCO, CA 94104-4205
(415) 433-4912
(415) 433-2859
Mailing address
180 MONTGOMERY ST, SUITE 2450, SAN FRANCISCO, CA 94104-4205
(415) 433-4912
(415) 433-2859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34805
CA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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