Individual
DR. CHAZ KONRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1507 N CENTER ST, BEAVER DAM, WI 53916-1025
(920) 763-3957
Mailing address
1507 N CENTER ST, BEAVER DAM, WI 53916-1025
(920) 763-3957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001218-15
WI
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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