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Ancheta Pediatric Dental Llc
Dental Clinic/Center in Aiea, Hawaii
NPI 1891235560

Ancheta Pediatric Dental Llc is a Dental Clinic/Center based in Aiea, HI and is specialized in Dental. Ancheta Pediatric Dental Llc practices in Aiea, HI. The NPI Number for Ancheta Pediatric Dental Llc is 1891235560 and holds a License No. DT-2079 (Hawaii).

The current practice location address for Ancheta Pediatric Dental Llc is 98-1247 Kaahumanu St, Aiea, HI and can be reached out via phone at 808-487-1009 and via fax at 808-487-1004.

Location: 98-1247 Kaahumanu St, Aiea, HI, 96701-5311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891235560
Provider Name
Ancheta Pediatric Dental Llc
Credential
Provider Entity Type
Organization
Address
98-1247 Kaahumanu St, Aiea, HI, 96701-5311
Phone Number
808-487-1009
Fax Number
808-487-1004
Provider Enumeration Date
03/01/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
574857-03 05 HI
institution
Provider Business Practice Location Address Details
Address
98-1247 Kaahumanu St
City
Aiea
State
Hawaii
Zip
96701-5311
Phone Number
808-487-1009
Fax Number
808-487-1004
person
Provider Business Mailing Address Details
Address
98-1247 Kaahumanu St
City
Aiea
State
Hawaii
Zip
96701-5311
Phone Number
808-487-1009
Fax Number
808-487-1004
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DT-2079 (Hawaii)
Definition
Definition to come...
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