John Frederick Conrad, D.D.S. Valid NPI

Individual provider · Dentist · Berkeley, CA

NPI

1568475036

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

D21441 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-14

Last updated

2012-11-25