Individual
ALISSA MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, FACP
Contact information
Practice address
16 GERRARD AVE, EAST LONGMEADOW, MA 01028
(413) 731-8814
Mailing address
16 GERRARD AVE, EAST LONGMEADOW, MA 01028-1606
(413) 731-8814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN1857278
MA
1223P0700X
Prosthodontics
Primary
DN1857278
MA
Other
Enumeration date
03/28/2016
Last updated
07/07/2020
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