Organization
MICHAEL A. CONRAD, DDS, PC
Active
Other names
The Dentist Down the Lane
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALAN CONRAD DDS (PRESIDENT)
(610) 398-1435
Entity
Organization
Contact information
Practice address
770 FETTERS LN, WESCOSVILLE, PA 18106-9290
(610) 398-1435
(610) 398-6278
Mailing address
PO BOX 3243, WESCOSVILLE, PA 18106-0243
(610) 398-1435
(610) 398-6278
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS023025L
PA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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