Individual
PAUL WELLS CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
VA04619
VA
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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