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1093070948
CARISSA MARIE TANAKA
MERIDEN, CT
NPI
1093070948
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Former Name
CARISSA MARIE DAINO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 10969)
Enumeration Date
2012-07-06
Last Update Date
2013-07-03
Business Address
Dr. CARISSA MARIE TANAKA D.M.D.
74 MAIN ST
MERIDEN, CT 06451-5119
Phone number: 203-235-0121
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Mailing Address
Dr. CARISSA MARIE TANAKA D.M.D.
141 CONVERSE AVE
MERIDEN, CT 06450-3451
Phone number:
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