Individual
JACI YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 KAMEHAMEHA HWY STE A201, PEARL CITY, HI 96782-2771
(808) 455-3485
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 691-4292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-3010
HI
Other
Enumeration date
03/16/2022
Last updated
07/20/2023
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