Individual
DR. LISA B YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1035 SOUTH STATE ROAD 7, SUITE 212, WELLINGTON, FL 33414
(561) 333-2545
Mailing address
5900 W SAMPLE RD, APARTMENT 103, CORAL SPRINGS, FL 33067-3248
(954) 753-0878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17516
FL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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