Individual provider · Type 1 NPI

Iriana Pena Manrique, DDS

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1346692407 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Mailing address

7 Talcott Forest Rd Apt N
Farmington, CT 06032-3572

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346692407

Iriana Pena Manrique, DDS's National Provider Identifier is 1346692407, issued on Jul 12, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jul 12, 2016.