Individual
DR. BLAINE HARRIS CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22 MILLER AVE, ASHVILLE, OH 43103-1273
(740) 983-3151
Mailing address
22 MILLER AVE, ASHVILLE, OH 43103-1273
(740) 983-3151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13603
OH
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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