Young and Short, a Dental Corporation

NPI #1699863654 in Diamond Bar, California

Provider Information

NPI Number: 1699863654
Entity Type: Organization
Organization Name: Young and Short, a Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Oct 11, 2006
Last Updated: Jun 12, 2012

Practice Location

Address: 646 N DIAMOND BAR BLVD
City: Diamond Bar
State: California
ZIP Code: 91765-1037
Phone: (909) 861-2661

Authorized Official

Name: MR. JERRY P YOUNG SR., DDS
Title: PRESIDENT OWNER
Phone: (909) 861-2661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist	122300000X	Primary

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