# ANCHETA PEDIATRIC DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891235560
- **Authorized official:** DR. JANEL ANCHETA-CARROLL D.M.D. (OWNER/PEDIATRIC DENTIST)
- **Authorized official phone:** (808) 561-2054

## Contact information

- **Practice address:** 98-1247 KAAHUMANU ST, SUITE 205, AIEA, HI 96701-5311
- **Practice address phone:** (808) 487-1009
- **Practice address fax:** (808) 487-1004
- **Mailing address:** 98-1247 KAAHUMANU ST, SUITE 205, AIEA, HI 96701-5311
- **Mailing address phone:** (808) 487-1009
- **Mailing address fax:** (808) 487-1004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DT-2079 | HI | Yes |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 03/01/2017