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Individual

DR. COLLYER K. YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3221 WAIALAE AVE, SUITE 350, HONOLULU, HI 96816-5842
(808) 732-5381
(808) 737-9022
Mailing address
3221 WAIALAE AVE, SUITE 350, HONOLULU, HI 96816-5842
(808) 732-5381
(808) 737-9022

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
91615
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6470-9
HMSA
HI
01
91615
HDS
HI
05
91615
HI
Enumeration date
10/03/2006
Last updated
07/08/2007
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