Individual
DR. CHARLES JOHN YOUNGBLADE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1802 WEST CUMBERLAND STREET, DUNN, NC 28334
(910) 892-1054
(910) 892-0419
Mailing address
1802 WEST CUMBERLAND STREET, DUNN, NC 28334
(910) 892-1054
(910) 892-0419
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7702
NC
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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