Individual
DR. CLARENCE CONROY LINDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2021 K ST NW, SUITE 317, WASHINGTON, DC 20006-1003
(202) 466-7555
(202) 466-4950
Mailing address
9425 TOBIN CIR, POTOMAC, MD 20854-4546
(301) 983-1923
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401004337
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4894
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN2642
DC
Other
Enumeration date
07/08/2006
Last updated
11/19/2008
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