Individual
ANDREW J YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
255 NORTH WILSON ST, SUITE D, NIPOMO, CA 93444
(669) 600-9707
Mailing address
PO BOX 309, NIPOMO, CA 93444-0309
(805) 929-3219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49578
CA
Other
Enumeration date
03/21/2008
Last updated
07/07/2020
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