Individual
DR. DEREK J CONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1601 WALNUT ST STE 1101, PHILADELPHIA, PA 19102-2907
(215) 567-0521
Mailing address
1601 WALNUT ST STE 1101, PHILADELPHIA, PA 19102-2907
(215) 567-0521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DI24499
NJ
1223G0001X
General Practice Dentistry
Primary
DS037579
PA
Other
Enumeration date
09/07/2010
Last updated
10/08/2020
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