Timothy Jeramiah Young, D.D.S.

NPI #1588753966 in Lago Vista, Texas

Provider Information

NPI Number: 1588753966
Entity Type: Individual
Name: Timothy Jeramiah Young, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7401 LOHMANS FORD RD
City: Lago Vista
State: Texas
ZIP Code: 78645-4758
Phone: (512) 267-4163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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