Provider Demographics
NPI:1730258443
Name:YOUNG, MON-HAN (DMD)
Entity type:Individual
Prefix:DR
First Name:MON-HAN
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10126 SILBURY HILL CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4727
Mailing Address - Country:US
Mailing Address - Phone:702-252-8688
Mailing Address - Fax:
Practice Address - Street 1:4555 S FORT APACHE RD
Practice Address - Street 2:#136
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-7968
Practice Address - Country:US
Practice Address - Phone:702-388-8979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV45071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice