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
Fax: (671) 637-6464
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578907747 NPPES
California MEDICAID 39746
California MEDICAID D902

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