Individual
DR. BRIAN TODD YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
11945 SAN JOSE BLVD, STE. 101, JACKSONVILLE, FL 32223-1613
(904) 268-3434
(904) 288-8882
Mailing address
11945 SAN JOSE BLVD, SUITE 101, JACKSONVILLE, FL 32223-1613
(904) 268-3434
(904) 288-8882
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN15890
FL
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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