| Young Dental Group | |
|
126 2nd Ave Suite 102 San Mateo CA 94401-3841 | |
| (650) 532-3092 | |
| (650) 343-0528 |
| Full Name | Young Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 126 2nd Ave, San Mateo, California |
| Authorized Official Name and Position | Chrystle C Cu (OWNER) |
| Authorized Official Contact | 6507039378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Dental Group 126 2nd Ave Suite 102 San Mateo CA 94401-3841 Ph: (650) 532-3092 | Young Dental Group 126 2nd Ave Suite 102 San Mateo CA 94401-3841 Ph: (650) 532-3092 |
| NPI Number | 1922545979 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 01/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922545979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 57287 (California) | Primary |
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