Individual
ELIZABETH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1405 S HANLEY RD, BRENTWOOD, MO 63144-2902
(314) 862-2006
Mailing address
5724 POTOMAC ST, SAINT LOUIS, MO 63139-1911
(417) 459-7525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021023367
MO
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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