Individual
SHAWN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7320 MARKET ST, WILMINGTON, NC 28411-9881
(910) 386-5003
(910) 681-1184
Mailing address
7320 MARKET ST, WILMINGTON, NC 28411-9881
(910) 386-5003
(910) 681-1184
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6326
NC
Other
Enumeration date
02/23/2007
Last updated
05/03/2022
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