DR. Carissa Marie Tanaka, D.M.D.

NPI #1093070948 in Meriden, Connecticut

Provider Information

NPI Number: 1093070948
Entity Type: Individual
Name: DR. Carissa Marie Tanaka, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 6, 2012
Last Updated: Jul 3, 2013

Practice Location

Address: 74 MAIN ST
City: Meriden
State: Connecticut
ZIP Code: 06451-5119
Phone: (203) 235-0121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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