Individual
DR. COREY CHRISTOPHER CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
5890 MORNING STAR CT., PLEASANT HILL, IA 50327-2230
(515) 266-2154
(515) 266-8065
Mailing address
5890 MORNING STAR CT., PLEASANT HILL, IA 50327-2230
(515) 266-2154
(515) 266-8065
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
07979
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247338
—
IA
Enumeration date
10/30/2007
Last updated
01/05/2016
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