Individual
BRADLEY HAMBLIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
602 E MAIN ST, SUITE E, LEXINGTON, SC 29072-3729
(803) 957-2440
(803) 957-2547
Mailing address
602 E MAIN ST, SUITE E, LEXINGTON, SC 29072-3729
(803) 957-2440
(803) 957-2547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3672
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3672
—
SC
Enumeration date
06/22/2006
Last updated
07/09/2007
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