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Organization

PAUL W CONRAD DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY JAYNE MUELLER (FRONT OFFICE MANAGER)
(703) 670-4838
Entity
Organization

Contact information

Practice address
16150 COUNTRY CLUB DRIVE, DUMFRIES, VA 22025
(703) 670-4838
(703) 670-7876
Mailing address
16150 COUNTRY CLUB DRIVE, DUMFRIES, VA 22025
(703) 670-4838
(703) 670-7876

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/11/2006
Last updated
06/17/2008
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