Most Relevant Information
Provider Data
| NPI Number: | 1003019050 |
| Provider Name: | WALTER FULLER YOUNG DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 007392 |
Most Important Dates
| Enumeration Date: | 06/07/2007 |
| Last Updated: | 10/24/2008 |
Provider Practice Location
2265 CASCADE RD SW
ATLANTA
GA
303112801
Practice Location Phone/Fax
| Phone: | 4047534753 |
| Fax: | 4047534228 |
Provider Mailing Location
2265 CASCADE RD SW
ATLANTA
GA
303112801
Provider Mailing Phone/Fax
| Phone: | 4047534753 |
| Fax: | 4047534228 |