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Individual

DR. FREDERICK T. YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
804 E ROBINSON ST, CARSON CITY, NV 89701-4734
(775) 883-7773
(775) 883-9793
Mailing address
804 E ROBINSON ST, CARSON CITY, NV 89701-4734
(775) 883-7773
(775) 883-9793

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1011
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1011
STATE LICENSE NUMBER
NV
Enumeration date
07/20/2006
Last updated
07/08/2007
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