Individual
MRS. DORA LOUISE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92055 14TH STREET, CAMP PENDLETON, CA 92055
(760) 725-5870
Mailing address
PO BOX 1139, WILDOMAR, CA 92595-1139
(951) 970-0934
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
71156
CA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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