Marion, Irene Diane

Marion, Irene Diane is an sole proprietor health care provider with primary practice located at 340 Broad St Suite 205, Windsor CT 06095-3030. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Marion, Irene Diane can be contacted via phone (860) 285-0323.

Contact Information

Primary practice address
340 Broad St Suite 205 Windsor CT 06095-3030
Fax: (860) 285-0323
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6518 Connecticut

Profile Details

NPI number 1023153483
LBN Legal business name Marion, Irene Diane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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