NPI 1184932857

Nichelle Marie Young, DENTALASSISTANT

Practitioner Dental Assistant Dacula, GA

Practice location

Address: 3635 Braselton Hwy Suite C, Dacula, GA 30019-1068
Phone: (678) 714-7575
Mailing address: 770 Hounds Ridge CT, Lawrenceville, GA 30043-4079

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Georgia →

Registry record

NPI: 1184932857
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2010
Record last updated: 16 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.