Individual
CALEB M CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
200 CARMICHAEL WAY, SUITE 612, CHESAPEAKE, VA 23322-2489
(757) 204-7210
(757) 204-7213
Mailing address
200 CARMICHAEL WAY, SUITE 612, CHESAPEAKE, VA 23322-2489
(757) 204-7210
(757) 204-7213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414697
VA
Other
Enumeration date
06/03/2015
Last updated
01/24/2017
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