Individual
DR. IRENE DIANE MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
340 BROAD ST, SUITE 205, WINDSOR, CT 06095-3030
(860) 285-0323
(860) 285-0323
Mailing address
6 WHITE PINE TER, WEATOGUE, CT 06089-9508
(860) 651-5620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6518
CT
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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