Caitlin Courtney Konicek, DDS

NPI #1396354197 in Roseburg, Oregon

Provider Information

NPI Number: 1396354197
Entity Type: Individual
Name: Caitlin Courtney Konicek, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 28, 2020
Last Updated: Jul 28, 2020

Practice Location

Address: 1100 NW GARDEN VALLEY BLVD
City: Roseburg
State: Oregon
ZIP Code: 97471-1923
Phone: (541) 673-7437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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