Organization
ERIC W. YOUNG, DDS, MMSC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WILLIAM YOUNG DDS, MMSC (PRESIDENT)
(415) 513-2455
Entity
Organization
Contact information
Practice address
1665 CREEKSIDE DR STE 103, FOLSOM, CA 95630-3538
(916) 983-7700
Mailing address
1665 CREEKSIDE DR STE 103, FOLSOM, CA 95630-3538
(916) 983-7700
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
56904
CA
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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