Individual
TIANA PISCITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3698 LARGENT WAY NW STE 201, MARIETTA, GA 30064-5923
(770) 420-6565
Mailing address
40 ROYAL OAK DR, WEST HARTFORD, CT 06107-3121
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN123778.
GA
390200000X
Student in an Organized Health Care Education/Training Program
13839
CT
Other
Enumeration date
05/24/2023
Last updated
06/25/2025
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