Individual
DR. CONRAD RENALDO DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2679 MURFREESBORO PIKE, NASHVILLE, TN 37217-3505
(615) 360-3151
(615) 360-3151
Mailing address
329 YORKSHIRE CIR, NASHVILLE, TN 37211-7134
(615) 331-4713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000004460
TN
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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