Individual
DR. DAVID MARK PRIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
170 FLANDERS RD, NIANTIC, CT 06357-1208
(860) 739-9862
(860) 739-6558
Mailing address
170 FLANDERS RD, NIANTIC, CT 06357-1208
(860) 739-9862
(860) 739-6558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4499
CT
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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