MEDICARE: TODD T MORIKAWA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DT 1518	HI

General Provider Information

NPI Number	:	1831377852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD T MORIKAWA DMD

Provider Business Mailing Address
First Line	:	1600 KAPIOLANI BLVD STE 715
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-3805
Country	:	US
Telephone Number	:	808-941-7555
Fax Number	:	808-941-1113

Provider Business Practice Location Address
First Line	:	1600 KAPIOLANI BLVD STE 715
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-3805
Country	:	US
Telephone Number	:	808-941-7555
Fax Number	:	808-941-1113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2008
Last Update Date	:	01/31/2008

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