DR. Walter Fuller Young, DDS

NPI #1003019050 in Atlanta, Georgia

Provider Information

NPI Number: 1003019050
Entity Type: Individual
Name: DR. Walter Fuller Young, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 7, 2007
Last Updated: Oct 24, 2008

Practice Location

Address: 2265 CASCADE RD SW
City: Atlanta
State: Georgia
ZIP Code: 30311-2801
Phone: (404) 753-4753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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