Individual
MRS. DIANA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1341 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3043
(336) 765-4688
(336) 760-0667
Mailing address
1341 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3043
(336) 765-4688
(336) 760-0667
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4680
NC HYGIENE LICENSE
NC
Enumeration date
03/14/2007
Last updated
07/08/2007
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