Individual
DR. M. WALTER YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7820 SHRADER RD, RICHMOND, VA 23294-4222
(804) 262-1060
(804) 264-0445
Mailing address
11952 MONTFORT CIR, GLEN ALLEN, VA 23059-5761
(804) 360-3102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0104-005054
VA
Other
Enumeration date
06/19/2005
Last updated
07/28/2010
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