Organization
LUSTIG AND YOUNG DENTAL CORPORATION
Active
Other names
Cool Smiles Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW YOUNG DDS, MS (OWNER)
(714) 730-6600
Entity
Organization
Contact information
Practice address
13297 JAMBOREE RD, TUSTIN, CA 92782-9159
(714) 730-6600
(951) 776-1571
Mailing address
13297 JAMBOREE RD, TUSTIN, CA 92782-9159
(714) 730-6600
(714) 730-6082
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
44088
CA
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
12/17/2010
Last updated
09/17/2024
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