Individual
CONRAD IGNATIUS HARMON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3004 W 46TH ST, LOS ANGELES, CA 90043-1321
(323) 974-1311
Mailing address
3004 W 46TH ST, LOS ANGELES, CA 90043-1321
(323) 974-1311
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28984
CA
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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