Individual
DR. STEPHEN CARL MALINCONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
770 ORANGE ST, NEW HAVEN, CT 06511
(203) 624-2280
(203) 624-0143
Mailing address
770 ORANGE ST, NEW HAVEN, CT 06511
(203) 624-2280
(203) 624-0143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6884
CT
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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