Individual
DR. NICOLAS KENT YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2476 N UNIVERSITY PKWY, STE 103, PROVO, UT 84604-3868
(801) 377-0990
Mailing address
2476 N UNIVERSITY PKWY, STE 103, PROVO, UT 84604-3868
(801) 377-0990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7364346-9922
UT
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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