Colin Young, D.M.D.
Dentist, General Practice in San Francisco, CA. Individual provider (NPI-1).
NPI number1083092001
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1083092001
- Entity type
- Individual (NPI-1)
- Name
- Colin Young
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2015
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 101926 | CA | Yes |
| 1223G0001X | Dentist, General Practice | 6608 | NV |
Practice location
3200 Fulton StSan Francisco, CA 94118-3713
Phone 415-367-3444
Mailing address
842 31st AveSan Francisco, CA 94121-3526
Phone 702-715-9343
Other practice locations
3028 W Jack London Blvd
Livermore, CA 94551-7609
Livermore, CA 94551-7609
Phone 925-905-9888
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