Individual provider · Type 1 NPI

Keith A. Vodzak, D.M.D. M.S.D., ORTHO

Orthodontics and Dentofacial Orthopedics Dentistry · Honolulu, HI

NPI number 1104065085 Active

Practice location

377 Keahole St., Suite #211
Honolulu, HI 96825

Mailing address

42-125 Kooku Place
Kailua, HI 96734-5710

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDT-1666 (HI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104065085

Keith A. Vodzak, D.M.D. M.S.D., ORTHO's National Provider Identifier is 1104065085, issued on Feb 17, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Honolulu, HI. The record was last updated on Feb 17, 2009.