Rss Carissa Tanaka LLC
NPI #1295263218 in West Hartford, Connecticut
Provider Information
- NPI Number
- 1295263218
- Entity Type
- Organization
- Organization Name
- Rss Carissa Tanaka LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 3, 2017
- Last Updated
- Jan 26, 2019
Practice Location
- Address
- 901 FARMINGTON AVE STE 3
- City
- West Hartford
- State
- Connecticut
- ZIP Code
- 06119
- Phone
- (844) 859-2525
Authorized Official
- Name
- SARA MARIE BROWN
- Title
- DIRECTOR
- Phone
- (817) 440-7470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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