Organization
CONRADLAND, PLLC
Active
Other names
Foothills Endodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD CHARLES JOHNSON DMD (MEMBER)
(801) 916-0541
Entity
Organization
Contact information
Practice address
2861 W 120TH AVE STE 230, WESTMINSTER, CO 80234-2985
(801) 916-0541
Mailing address
2396 SAINT THOMAS ST, NEW ORLEANS, LA 70130-2059
(801) 916-0541
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DEN.00203484
CO
Other
Enumeration date
04/21/2018
Last updated
04/21/2018
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