Individual
MRS. JEANETTE M. YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2635 LEE RD, SUITE C-4, LITHIA SPRINGS, GA 30122-3356
(770) 489-9141
Mailing address
960 E PACES FERRY RD NE, APT 415, ATLANTA, GA 30326-1124
(202) 870-2293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
60732
KS
122300000X
Dentist
Primary
DN014390
GA
Other
Enumeration date
12/17/2009
Last updated
10/30/2013
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