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General NPI Number Information
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NPI Number | 1508090838
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Entity Type | Organization
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Legal Business Name | DAVID K I YEE DDS, LLC
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 1060 YOUNG ST SUITE 310
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City | HONOLULU
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State | HI
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Zip | 96814-1609
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Country | US
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Telephone | 808-532-7874
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 YOUNG ST SUITE 310
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City | HONOLULU
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State | HI
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Zip | 96814-1609
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Country | US
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Telephone | 808-532-7874
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Fax |
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Authorized Official
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Title or Position | SINGLE OWNER MEMBER
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Name | DR. DAVID K I YEE
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Credential | DDS
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Telephone | 808-532-7874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DT-1684
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License Number State | HI
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