Provider Demographics
NPI:1407227887
Name:YOUNG, CAREEN W (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:CAREEN
Middle Name:W
Last Name:YOUNG
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Gender:F
Credentials:DDS, MSD
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Mailing Address - Street 1:435 N ROXBURY DR
Mailing Address - Street 2:STE 411
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5027
Mailing Address - Country:US
Mailing Address - Phone:310-271-8665
Mailing Address - Fax:310-281-4894
Practice Address - Street 1:435 N ROXBURY DR
Practice Address - Street 2:STE 411
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5027
Practice Address - Country:US
Practice Address - Phone:310-271-8665
Practice Address - Fax:310-281-4894
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA424551223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics