Individual
CONNER CHRISTIAN DIMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1013 W MAIN ST STE 6, MOUNT JOY, PA 17552-9699
(717) 653-8177
Mailing address
755 SUMMIT DR APT 224, LANCASTER, PA 17601-1163
(717) 405-1590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042745
PA
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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