Paul Wells Conrad, DDS Valid NPI
Individual provider · General Practice Dentistry · Dumfries, VA
- NPI
- 1861596454
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- VA04619 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-09-12
- Last updated
- 2007-07-08
Practice location
16150 Country Club Drive
Dumfries, VA 22025
(703) 670-4838