| NPI | 1548590375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL D MORITA Owner/Orthodontist 808-486-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: HI 1142) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |