Provider Demographics
NPI:1144428657
Name:YOUNG, TERENCE QL (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:QL
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 BISHOP ST
Mailing Address - Street 2:SUITE 370
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3429
Mailing Address - Country:US
Mailing Address - Phone:808-538-7001
Mailing Address - Fax:808-523-3434
Practice Address - Street 1:1001 BISHOP ST
Practice Address - Street 2:SUITE 370
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3429
Practice Address - Country:US
Practice Address - Phone:808-538-7001
Practice Address - Fax:808-523-3434
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI16311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice