Individual
DR. JUSTIN MICHAEL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5319 S LEWIS AVE, 222, TULSA, OK 74105-6500
(918) 742-1987
Mailing address
5319 S LEWIS AVE, 222, TULSA, OK 74105-6500
(918) 691-0262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6822
OK
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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