Individual
MARINA HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
575 MOUNT AUBURN ST STE 201, CAMBRIDGE, MA 02138-4627
(617) 441-5437
Mailing address
16 UPPER KENSINGTON DR, EAST LYME, CT 06333-1164
(860) 333-2095
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN10000685
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2023
Last updated
06/23/2025
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