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Individual
DR. ALBERT TERRENCE CONLISK III
Active
Individual
DR. ALBERT TERRENCE CONLISK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901020233
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.24776
OH
Other
Enumeration date
08/02/2010
Last updated
03/17/2018
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