Individual
DEBORAH ELIZABETH MILLER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201
(410) 706-7039
Mailing address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-9757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
051494-1
NY
122300000X
Dentist
Primary
16133
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051494-1
LICENSE
NY
01
—
11-3465690
TAX ID
NY
01
—
16133
LICENSE
MD
Enumeration date
07/10/2006
Last updated
02/25/2020
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