Individual
MS. CAROLYN ANN CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
18011 RIVER CIRCLE, SUITE #4, CANYON COUNTRY, CA 91387
(661) 645-2809
(661) 251-9333
Mailing address
18011 RIVER CIRCLE, SUITE #4, CANYON COUNTRY, CA 91387
(661) 645-2809
(661) 251-9333
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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