Provider Demographics
NPI:1831377852
Name:MORIKAWA, TODD T (DMD)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:T
Last Name:MORIKAWA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:TODD
Other - Middle Name:T
Other - Last Name:MORIKAWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1600 KAPIOLANI BLVD STE 715
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3805
Mailing Address - Country:US
Mailing Address - Phone:808-941-7555
Mailing Address - Fax:808-941-1113
Practice Address - Street 1:1600 KAPIOLANI BLVD STE 715
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3805
Practice Address - Country:US
Practice Address - Phone:808-941-7555
Practice Address - Fax:808-941-1113
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT 15181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice