Individual
DANIELLE KONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3 RANDOLPH ST BLDG 2ND, CANTON, MA 02021-0317
(781) 562-0349
Mailing address
3 RANDOLPH ST BLDG 2ND, CANTON, MA 02021-0317
(781) 562-0349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857686
MA
1223G0001X
General Practice Dentistry
DL12993
MA
Other
Enumeration date
07/14/2016
Last updated
07/24/2023
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