Organization
CHRYSTLE CU
Active
Other names
Young Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRYSTLE C CU DDS (OWNER)
(650) 703-9378
Entity
Organization
Contact information
Practice address
126 2ND AVE, SUITE 102, SAN MATEO, CA 94401-3841
(650) 532-3092
(650) 343-0528
Mailing address
126 2ND AVE, SUITE 102, SAN MATEO, CA 94401-3841
(650) 532-3092
(650) 343-0528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57287
CA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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