Individual
AYOUNG JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E US HIGHWAY 377 STE 100, GRANBURY, TX 76048-1201
(817) 776-4337
Mailing address
301 E US HIGHWAY 377 STE 100, GRANBURY, TX 76048-1201
(817) 776-4337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40442
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/20/2023
Last updated
06/24/2024
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