Individual
JOHANNA CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
730 BROAD ST, WADSWORTH, OH 44281-2381
(330) 336-6590
(330) 336-0222
Mailing address
730 BROAD ST, WADSWORTH, OH 44281-2381
(330) 336-6590
(330) 336-0222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21877
OH
122300000X
Dentist
Primary
30-021877
OH
Other
Enumeration date
12/19/2006
Last updated
01/28/2026
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