DR. Paul A Condouris, DMD

NPI #1730165804 in Glen Ridge, New Jersey

Provider Information

NPI Number: 1730165804
Entity Type: Individual
Name: DR. Paul A Condouris, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Dec 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 89 GLEN RIDGE AVE
City: Glen Ridge
State: New Jersey
ZIP Code: 07028-1413
Phone: (973) 743-6092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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