Most Relevant Information
Provider Data
| NPI Number: | 1003292608 |
| Provider Name: | JEFFREY YOUNGBERG |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 64725 |
Most Important Dates
| Enumeration Date: | 08/05/2015 |
| Last Updated: | 03/16/2017 |
Provider Practice Location
770 MASON ST
SUITE 110
VACAVILLE
CA
956884646
Practice Location Phone/Fax
| Phone: | 7074471010 |
| Fax: |
Provider Mailing Location
770 MASON ST
SUITE 110
VACAVILLE
CA
956884646
Provider Mailing Phone/Fax
| Phone: | 7074471010 |
| Fax: |