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Individual

DR. PERRY BLAKE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, OMS

Contact information

Practice address
601 W MOANA LN STE 5, RENO, NV 89509-4959
(775) 828-2999
Mailing address
601 W MOANA LN STE 5, RENO, NV 89509-4959
(775) 828-2999

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2319
NV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S2-21
NV
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
S2-21
NV

Other

Enumeration date
06/06/2007
Last updated
08/31/2023
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