Individual
YOUNG H SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5538 N BURDICK ST, FAYETTEVILLE, NY 13066-9604
(315) 637-6961
Mailing address
8016 E GENESEE ST, FAYETTEVILLE, NY 13066-9692
(315) 637-6961
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0065137
NY
Other
Enumeration date
05/12/2015
Last updated
03/03/2022
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