Organization
RANDAL D. MORITA, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL D MORITA (OWNER/ORTHODONTIST)
(808) 486-5505
Entity
Organization
Contact information
Practice address
98-1247 KAAHUMANU ST STE 325, AIEA, HI 96701-5301
(808) 486-5505
(808) 488-1822
Mailing address
98-1247 KAAHUMANU ST STE 325, AIEA, HI 96701-5301
(808) 486-5505
(808) 488-1822
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1142
HI
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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