Individual
ADDISON CHARLES YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
326 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 623-2425
Mailing address
326 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 623-2425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9503
KY
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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