Provider Demographics
NPI:1851617112
Name:TERENCE Q.L. YOUNG, DDS INC.
Entity Type:Organization
Organization Name:TERENCE Q.L. YOUNG, DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:QL
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-538-7001
Mailing Address - Street 1:1003 BISHOP ST STE 370
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6408
Mailing Address - Country:US
Mailing Address - Phone:808-538-7001
Mailing Address - Fax:808-523-3434
Practice Address - Street 1:1003 BISHOP ST STE 370
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6408
Practice Address - Country:US
Practice Address - Phone:808-538-7001
Practice Address - Fax:808-523-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI16311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty