Healthcare Provider Details

I. General information

NPI: 1316953250
Provider Name (Legal Business Name): DAVID K. I. YEE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 YOUNG ST STE 310 MCDONALD'S BUILDING
HONOLULU HI
96814-1609
US

IV. Provider business mailing address

1060 YOUNG ST STE 310 MCDONALD'S BUILDING
HONOLULU HI
96814-1609
US

V. Phone/Fax

Practice location:
  • Phone: 808-532-7874
  • Fax:
Mailing address:
  • Phone: 808-532-7874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDT-1684
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: