CARISSA MARIE TANAKA

MERIDEN, CT
NPI1093070948
Former NameCARISSA MARIE DAINO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  10969)
Enumeration Date2012-07-06
Last Update Date2013-07-03
Business Address
Dr. CARISSA MARIE TANAKA D.M.D.
74 MAIN ST
MERIDEN, CT 06451-5119
Phone number: 203-235-0121
Mailing Address
Dr. CARISSA MARIE TANAKA D.M.D.
141 CONVERSE AVE
MERIDEN, CT 06450-3451
Phone number: