| Nipomo Dental Group Of Andrew Young Dds Inc | |
|
255 N Wilson St Ste D Nipomo CA 93444-7830 | |
| (805) 270-9322 | |
| Not Available |
| Full Name | Nipomo Dental Group Of Andrew Young Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 255 N Wilson St Ste D, Nipomo, California |
| Authorized Official Name and Position | Andrew Young (PRESIDENT) |
| Authorized Official Contact | 8052709322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nipomo Dental Group Of Andrew Young Dds Inc Po Box 309 Nipomo CA 93444-0309 Ph: () - | Nipomo Dental Group Of Andrew Young Dds Inc 255 N Wilson St Ste D Nipomo CA 93444-7830 Ph: (805) 270-9322 |
| NPI Number | 1134747124 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 07/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134747124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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