Individual
JASON CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2465 S DOWNING ST, SUITE 210, DENVER, CO 80210-5822
(303) 733-3710
(303) 733-3670
Mailing address
2465 S DOWNING ST, SUITE 210, DENVER, CO 80210-5822
(303) 733-3710
(303) 733-3670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8781
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34959076
—
CO
Enumeration date
04/11/2008
Last updated
04/11/2008
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