Individual
DR. LORI MICHELLE ANDERSON CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6084 14TH ST W, SUITE B-5, BRADENTON, FL 34207-4104
(941) 727-8805
Mailing address
6084 14TH ST W, SUITE B-5, BRADENTON, FL 34207-4104
(941) 727-8805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-022877
OH
122300000X
Dentist
Primary
DN 20505
FL
1223G0001X
General Practice Dentistry
8685
KY
Other
Enumeration date
08/27/2008
Last updated
03/17/2014
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