Individual
DR. CONRAD J. SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
9201 W SUNSET BLVD, SUITE 200, LOS ANGELES, CA 90069-3701
(310) 273-5775
(310) 275-5454
Mailing address
9201 SUNSET BLVD. #200, SUITE 200, LOS ANGELES, CA 90069
(310) 273-5775
(310) 275-5454
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DL032172
CA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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