Provider Demographics
NPI:1558576751
Name:CAREEN W YOUNG DDS MSD INC
Entity Type:Organization
Organization Name:CAREEN W YOUNG DDS MSD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAREEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:310-271-8665
Mailing Address - Street 1:435 N ROXBURY DR
Mailing Address - Street 2:SUITE 411
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
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:SUITE 411
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-271-8665
Practice Address - Fax:310-281-4894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA424551223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty