Alegria, Conrado V
Alegria, Conrado V is an individual health care provider with primary practice located at 505 Harmon Loop Road, Suite 300 , Dededo GUAM 96929. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Alegria, Conrado V can be contacted via phone (671) 637-9696.Contact Information
Primary practice address
505 Harmon Loop Road, Suite 300
Dededo GUAM 96929
Phone: (671) 637-9696
Fax: (671) 637-6464
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 39746 | California |
Dental Providers / General Practice | 1223G0001X | D902 | Guam |
Profile Details
NPI number | 1578907747 |
---|---|
LBN Legal business name | Alegria, Conrado V |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2013 |
Last updated | Apr 18th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578907747 | NPPES |
California | MEDICAID | 39746 | |
California | MEDICAID | D902 |
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