| Donovan W.c.k.young, Dds, Llc | |
|
1441 Kapiolani Blvd Suite 803 Honolulu HI 96814 | |
| (808) 258-3958 | |
| Not Available |
| Full Name | Donovan W.c.k.young, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1441 Kapiolani Blvd, Honolulu, Hawaii |
| Authorized Official Name and Position | Donovan W.c.k. Young (OWNER) |
| Authorized Official Contact | 8082583958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donovan W.c.k.young, Dds, Llc 1441 Kapiolani Blvd Ste 803 Honolulu HI 96814-4404 Ph: (808) 258-3958 | Donovan W.c.k.young, Dds, Llc 1441 Kapiolani Blvd Suite 803 Honolulu HI 96814 Ph: (808) 258-3958 |
| NPI Number | 1073874400 |
|---|---|
| Provider Enumeration Date | 06/01/2012 |
| Last Update Date | 06/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073874400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1785 (Hawaii) | Primary |
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