Organization
RSS CARISSA TANAKA LLC
Active
Other names
Renew Sleep Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARIE BROWN (DIRECTOR)
(817) 440-7470
Entity
Organization
Contact information
Practice address
901 FARMINGTON AVE STE 3, WEST HARTFORD, CT 06119
(844) 859-2525
Mailing address
1050 TEXAN TRL STE 300, GRAPEVINE, TX 76051-3759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10969
CT
Other
Enumeration date
06/03/2017
Last updated
01/26/2019
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