Healthcare Provider Details

I. General information

NPI: 1790092682
Provider Name (Legal Business Name): CECIL RITER DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD STE 905
HONOLULU HI
96814-4402
US

IV. Provider business mailing address

1441 KAPIOLANI BLVD STE 905
HONOLULU HI
96814-4402
US

V. Phone/Fax

Practice location:
  • Phone: 808-955-5922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number1734
License Number StateHI

VIII. Authorized Official

Name: CECIL FRANK RITER
Title or Position: PRESIDENT
Credential: DDS
Phone: 808-955-5922