Provider Demographics
NPI:1053676635
Name:GARY H. MORIKAWA DDS INC.
Entity Type:Organization
Organization Name:GARY H. MORIKAWA DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:H
Authorized Official - Last Name:MORIKAWA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-949-8866
Mailing Address - Street 1:1441 KAPIOLANI BOULEVARD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4404
Mailing Address - Country:US
Mailing Address - Phone:808-949-8866
Mailing Address - Fax:808-949-4255
Practice Address - Street 1:1441 KAPIOLANI BOULEVARD
Practice Address - Street 2:SUITE 800
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4404
Practice Address - Country:US
Practice Address - Phone:808-949-8866
Practice Address - Fax:808-949-4255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-1538122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty