Individual
CONRAD MAX SCHULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16461 WILLIAM FOSS RD, LA PINE, OR 97739-9486
(541) 907-7020
Mailing address
20887 GATEWAY DR, BEND, OR 97702-3675
(541) 218-4205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103174
CA
1223G0001X
General Practice Dentistry
Primary
D11950
OR
Other
Enumeration date
09/05/2018
Last updated
06/21/2024
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