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Individual

DR. CONRAD MAGNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1220 W OGDEN AVE, SUITE A, NAPERVILLE, IL 60563-8969
(630) 848-1212
(630) 848-1254
Mailing address
3054 ACKER ST, CROSS PLAINS, WI 53528-9557
(312) 545-8671

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5906-15
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851529832
WI
Enumeration date
10/09/2007
Last updated
06/06/2024
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