Individual
DR. CONNIE MALLOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
20 N LAUREL ST, SUITE 2-C, HAZLETON, PA 18201-5948
(570) 454-9600
Mailing address
20 N LAUREL ST, SUITE 2-C, HAZLETON, PA 18201-5948
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS028814L
PA
Other
Enumeration date
07/21/2007
Last updated
08/26/2007
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