Provider Demographics
NPI:1972360584
Name:MINHKY YOUNG DDS, P.C.
Entity Type:Organization
Organization Name:MINHKY YOUNG DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MINHKY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-699-5550
Mailing Address - Street 1:27699 JEFFERSON AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2696
Mailing Address - Country:US
Mailing Address - Phone:951-699-5550
Mailing Address - Fax:
Practice Address - Street 1:27699 JEFFERSON AVE STE 207
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2696
Practice Address - Country:US
Practice Address - Phone:951-699-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty