Individual
MARK CONLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
160 HAWLEY LN, SUITE 101, TRUMBULL, CT 06611-5300
(203) 377-0638
(203) 377-7471
Mailing address
160 HAWLEY LN, SUITE 101, TRUMBULL, CT 06611-5300
(203) 377-0638
(203) 377-7471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4975
CT
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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