Individual
DR. DAVID JAMES MARICONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
137 STATE ROUTE 104, OSWEGO, NY 13126-2937
(315) 326-1197
Mailing address
26546 SAN TORINI RD, MISSION VIEJO, CA 92692-6101
(949) 367-1882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056680-1
NY
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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