Individual
DR. CLAYTON CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 4TH ST NE, SUITE 207, WATERTOWN, SD 57201-1898
(605) 882-0747
(605) 882-2196
Mailing address
600 4TH ST NE, SUITE 207, WATERTOWN, SD 57201-1898
(605) 882-0747
(605) 882-2196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1112
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1112
STATE OF SD DENTAL LICENSE D1112
SD
Enumeration date
06/22/2016
Last updated
06/22/2016
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