# JY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558133546
- **Authorized official:** DR. JEREMY R YOO DDS (PRESIDENT)
- **Authorized official phone:** (808) 536-5090

## Contact information

- **Practice address:** 1003 BISHOP ST STE 393, HONOLULU, HI 96813-6409
- **Practice address phone:** (808) 536-5090
- **Mailing address:** 1003 BISHOP ST STE 393, HONOLULU, HI 96813-6409
- **Mailing address phone:** (808) 536-5090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 10/24/2023