Individual
SPENCER ANTHONY SCHIAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
98-1005 MOANALUA RD SPC 2000, AIEA, HI 96701-4700
(808) 489-9530
Mailing address
98-1005 MOANALUA RD SPC 2000, AIEA, HI 96701-4700
(808) 489-9530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT-2992
HI
1223G0001X
General Practice Dentistry
DT-2992
HI
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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