Individual
MARVIN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
655 7TH ST BLDG 700700-A, ROBINS AFB, GA 31098-2227
(770) 891-2477
(440) 826-1917
Mailing address
655 SOUTH 7TH STREET BLDG 700/700-A, ROBINS AFB, GA 31098
(770) 891-2477
(440) 826-1917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021726
OH
Other
Enumeration date
05/04/2007
Last updated
11/02/2012
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