Healthcare Provider Details

I. General information

NPI: 1134346299
Provider Name (Legal Business Name): CECIL RITER DDS. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 06/02/2008
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 SUITE #905
HONOLULU HI
96814-4402
US

V. Phone/Fax

Practice location:
  • Phone: 808-955-5922
  • Fax: 808-955-5944
Mailing address:
  • Phone: 808-955-5922
  • Fax: 808-955-5944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberW20192900-01
License Number StateHI

VIII. Authorized Official

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