Individual
DR. JANEL SUPNET ANCHETA-CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
98-1247 KAAHUMANU ST STE 205, ANCHETA PEDIATRIC DENTAL LLC, AIEA, HI 96701-5310
(808) 487-1000
(808) 487-1004
Mailing address
98-1247 KAAHUMANU ST, SUITE 205, AIEA, HI 96701-5311
(808) 487-1000
(808) 487-1004
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DT-2079
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
574857
—
HI
Enumeration date
09/14/2006
Last updated
01/10/2017
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