Individual
DAVID VINCENT MALICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
713 TROY SCHENECTADY RD, SUITE 217, LATHAM, NY 12110-2490
(518) 785-3266
Mailing address
713 TROY SCHENECTADY RD, SUITE 217, LATHAM, NY 12110-2490
(518) 785-3266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044767
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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