Individual
DR. MICHAEL J CONLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2200 BERGQUIST DR, ATTN CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9907
(210) 292-2558
Mailing address
6126 WOOD PASS, SAN ANTONIO, TX 78249-1933
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2669
NH
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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