Individual provider · Type 1 NPI

Carissa Marie Tanaka, DMD

General Practice Dentistry · Meriden, CT

NPI number 1093070948 Active

About NPI 1093070948

Carissa Marie Tanaka, DMD's National Provider Identifier is 1093070948, issued on Jul 6, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Meriden, CT. The record was last updated on Jul 3, 2013.