Individual
DR. DONALD L. MALIZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
457 N MAIN ST, SUITE 100, PITTSTON, PA 18640-2183
(570) 299-7293
(570) 299-7427
Mailing address
457 N MAIN ST, SUITE 100, PITTSTON, PA 18640-2183
(570) 299-7293
(570) 299-7427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 021757-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS021957L
DENTAL LICENSE
PA
Enumeration date
08/05/2006
Last updated
12/23/2015
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