Jessica Young

NPI #1598144255 in Gallup, New Mexico

Provider Information

NPI Number: 1598144255
Entity Type: Individual
Name: Jessica Young
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: May 27, 2015
Last Updated: May 27, 2015

Practice Location

Address: 516 E NIZHONI BLVD
City: Gallup
State: New Mexico
ZIP Code: 87301-5748
Phone: (505) 722-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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