Individual
DR. MATTHEW JOHN CONQUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1187 THORN RUN RD, SUITE 110, CORAOPOLIS, PA 15108-3198
(412) 264-8440
(412) 264-8441
Mailing address
1187 THORN RUN RD, SUITE 110, CORAOPOLIS, PA 15108-3198
(412) 264-8440
(412) 264-8441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS036534
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS036534
PA
207L00000X
Anesthesiology Physician
DA031677
PA
Other
Enumeration date
02/06/2006
Last updated
06/29/2016
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