Marvin Conrad, DDS

NPI #1184836777 in Robins Afb, Georgia

Provider Information

NPI Number: 1184836777
Entity Type: Individual
Name: Marvin Conrad, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 4, 2007
Last Updated: Nov 2, 2012

Practice Location

Address: 655 7TH ST BLDG 700700-A
City: Robins Afb
State: Georgia
ZIP Code: 31098-2227
Phone: (770) 891-2477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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