Individual
ANDREW NEILL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
8450 PARK VISTA BLVD, FORT WORTH, TX 76137-5731
(817) 514-1717
(817) 704-4771
Mailing address
8450 PARK VISTA BLVD, FORT WORTH, TX 76137-5731
(817) 514-1717
(817) 704-4771
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21097
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
60300
KS
Other
Enumeration date
01/06/2006
Last updated
02/28/2024
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