| NPI | 1659474955 |
|---|---|
| Doing Business As | GARY E. CONRAD DDS |
| Entity Type | Organization |
| Authorized Contact | GARY E CONRAD Dentist/Owner 9710-728-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-08-04 |