| Randal D. Morita, D.d.s., Inc. | |
|
98-1247 Kaahumanu St Ste 325 Aiea HI 96701-5301 | |
| (808) 486-5505 | |
| (808) 488-1822 |
| Full Name | Randal D. Morita, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 98-1247 Kaahumanu St Ste 325, Aiea, Hawaii |
| Authorized Official Name and Position | Randal D Morita (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 8084865505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randal D. Morita, D.d.s., Inc. 98-1247 Kaahumanu St Ste 325 Aiea HI 96701-5301 Ph: (808) 486-5505 | Randal D. Morita, D.d.s., Inc. 98-1247 Kaahumanu St Ste 325 Aiea HI 96701-5301 Ph: (808) 486-5505 |
| NPI Number | 1548590375 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 12/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548590375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1142 (Hawaii) | Primary |
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