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NPI 1043137623

NPI 1043137623 : KRISTEN YOUNG DDS, MS, INC. : ROSEVILLE, CA

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General NPI Number Information
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    NPI Number           |    1043137623
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    Entity Type          |    Organization 
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    Legal Business Name  |    KRISTEN YOUNG DDS, MS, INC. 
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Dates
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    Enumeration Date     |    07/02/2026
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    Last Update Date     |    07/02/2026
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Provider Practice Location Address
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    Address Line         |    1623 SANTA CLARA DR STE 100 
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    City                 |    ROSEVILLE
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    State                |    CA
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    Zip                  |    95661-3589
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    Country              |    US
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    Telephone            |    650-455-7912
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    525 NELSON RISING LN APT 614 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94158-2296
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    Country              |    US
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    Telephone            |    650-455-7912
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PERIODONTIST
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    Name                 |    DR. KRISTEN HSI YOUNG 
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    Credential           |    DDS
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    Telephone            |    650-455-7912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0300X
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    Taxonomy Name        |    Periodontics
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    License Number       |    
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    License Number State |    
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