| Carl B. Conrad Dds Ltd. | |
|
7101 Janes Ave Woodridge IL 60517-2321 | |
| (630) 963-7767 | |
| Not Available |
| Full Name | Carl B. Conrad Dds Ltd. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7101 Janes Ave, Woodridge, Illinois |
| Authorized Official Name and Position | Carl B. Conrad (PRES.) |
| Authorized Official Contact | 6309637767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl B. Conrad Dds Ltd. 7101 Janes Ave Woodridge IL 60517-2321 Ph: (630) 963-7767 | Carl B. Conrad Dds Ltd. 7101 Janes Ave Woodridge IL 60517-2321 Ph: (630) 963-7767 |
| NPI Number | 1083760987 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083760987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 14280 (Illinois) | Primary |
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