Douglas Jay Conquest DDS

NPI 1003929506 - Dentist - 122300000X

NPI Details
NPI 1003929506
Gender Male
Enumeration Date 08/17/2006
Last Updated 12/04/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
150 DEEPWOOD DR
ROUND ROCK TX, 78681-4943, US
Phone (512) 255-1000
Fax (512) 255-8763
Business Location
150 DEEPWOOD DR
ROUND ROCK TX, 78681-4943, US
Phone (512) 255-1000
Fax (512) 255-8763
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 11582
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According to our database, Douglas Jay Conquest DDS NPI is 1003929506, taxonomy code is 122300000X and license number is 11582, license state is located at Texas. Douglas Jay Conquest DDS physically located at 150 Deepwood Dr, Round Rock TX, 78681-4943. NPI Number Douglas Jay Conquest DDS has the Individual type.

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1003929506 NPI number is provided on an as is basis without warranty of any kind. 1003929506 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Jay Conquest DDS are for informational purposes only.