Provider Demographics
NPI:1336384759
Name:YORITA, RACHEL M (DDS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:YORITA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-444 KA UKA BLVD STE #5
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797
Mailing Address - Country:US
Mailing Address - Phone:808-201-3636
Mailing Address - Fax:808-427-5151
Practice Address - Street 1:94-444 KA UKA BLVD STE #5
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797
Practice Address - Country:US
Practice Address - Phone:808-201-3636
Practice Address - Fax:808-427-5151
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54965122300000X
HIDT-24341223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist