Individual
CLARENCE K.M. YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1150 S KING ST, SUITE 503, HONOLULU, HI 96814-1922
(808) 591-0135
(808) 591-0138
Mailing address
1150 S KING ST, SUITE 503, HONOLULU, HI 96814-1922
(808) 591-0135
(808) 591-0138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1484
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02754302
—
HI
Enumeration date
01/19/2007
Last updated
07/09/2007
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