Individual
DR. MICHAEL PHILLIP CONIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15341 W WADDELL RD STE B-107, SURPRISE, AZ 85379-5169
(623) 233-1020
Mailing address
15341 W WADDELL RD STE B-107, SURPRISE, AZ 85379-5169
(602) 510-9838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010327
AZ
Other
Enumeration date
06/10/2019
Last updated
08/14/2024
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