Young, Diana

Young, Diana is an individual health care provider with primary practice located at 1341 Westgate Center Dr Ste B , Winston Salem NC 27103-3043. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Young, Diana can be contacted via phone (336) 765-4688.

Contact Information

Primary practice address
1341 Westgate Center Dr Ste B Winston Salem NC 27103-3043
Fax: (336) 760-0667
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 4680 North Carolina

Profile Details

NPI number 1497888564
LBN Legal business name Young, Diana
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497888564 NPPES
North Carolina Other 4680 NC HYGIENE LICENSE

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