Conrad Renaldo Douglas DDS

NPI 1811038615 - Dentist - 1223G0001X

NPI Details
NPI 1811038615
Gender Male
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2679 MURFREESBORO PIKE
NASHVILLE TN, 37217-3505, US
Phone (615) 360-3151
Fax (615) 360-3151
Business Location
329 YORKSHIRE CIR
NASHVILLE TN, 37211-7134, US
Phone (615) 331-4713
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number DS0000004460
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According to our database, Dr. Conrad Renaldo Douglas DDS NPI is 1811038615, taxonomy code is 1223G0001X and license number is DS0000004460, license state is located at Tennessee. Conrad Renaldo Douglas DDS physically located at 2679 Murfreesboro Pike, Nashville TN, 37217-3505. NPI Number Conrad Renaldo Douglas DDS has the Individual type.

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1811038615 NPI number is provided on an as is basis without warranty of any kind. 1811038615 is maintained by the National Plan & Provider Enumeration System. The contents of Conrad Renaldo Douglas DDS are for informational purposes only.