TARAS JOSAPHAT KONRAD

TWENTYNINE PALMS, CA
NPI1316930738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: PA  ds031194l)
Enumeration Date2005-08-31
Last Update Date2020-11-20
Business Address
Dr. TARAS JOSAPHAT KONRAD dmd
MCAGCTC , 23RD DENTAL BLDG 1591
TWENTYNINE PALMS, CA 92278
Phone number: 760-830-7054
Mailing Address
Dr. TARAS JOSAPHAT KONRAD dmd
NMRTC PENDLETON
OCEANSIDE, CA 92055
Phone number: 760-719-4747