Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 22130 | MA |
NPI | 1063670842 |
---|---|
Provider Name | Dr. Jungmee Youn |
First Address | Framingham, MA 01702-7592 |
Second Address | Framingham, MA 01702-7592 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2008 |
Last Update Date | 30/06/2016 |