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Dr. Carissa Marie Tanaka, DMD
General Practice Dentistry in Meriden, Connecticut
NPI 1093070948

Carissa Marie Tanaka is a General Practice Dentistry based in Meriden, CT and is specialized in General Practice. Carissa Marie Tanaka practices in Meriden, CT and has the professional credentials of DMD. The NPI Number for Carissa Marie Tanaka is 1093070948 and holds a License No. 10969 (Connecticut).

The current practice location address for Carissa Marie Tanaka is 74 Main St, Meriden, CT and can be reached out via phone at 203-235-0121.

Location: 74 Main St, Meriden, CT, 06450-3451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093070948
Provider Name
Carissa Marie Tanaka
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
74 Main St, Meriden, CT, 06450-3451
Phone Number
203-235-0121
Fax Number
Provider Enumeration Date
07/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
74 Main St
City
Meriden
State
Connecticut
Zip
06451-5119
Phone Number
203-235-0121
Fax Number
person
Provider Business Mailing Address Details
Address
74 Main St
City
Meriden
State
Connecticut
Zip
06451-5119
Phone Number
203-235-0121
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10969 (Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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