Individual
DR. KEISHA DEANNA KONRADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
310 COX CREEK PKWY, FLORENCE, AL 35630-1540
(256) 272-3276
Mailing address
109 AIDAN LN, MUSCLE SHOALS, AL 35661-1893
(601) 692-3824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6451
AL
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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