| NPI | 1891235560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEL ANCHETA-CARROLL Owner/Pediatric Dentist 808-561-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: HI DT-2079) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |