Individual
MR. CONRAD E BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
70 DOCTORS PARK DRIVE, SANTA ROSA, CA 95405
(707) 545-1213
(707) 528-3184
Mailing address
70 DOCTORS PARK DRIVE, SANTA ROSA, CA 95405
(707) 545-1213
(707) 528-3184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41817
CA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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