Konrad, Taras Josaphat

Konrad, Taras Josaphat is an individual health care provider with primary practice located at Mcagctc , 23Rd Dental Bldg 1591, Twentynine Palms CA 92278. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Konrad, Taras Josaphat can be contacted via phone (760) 830-7054.

Contact Information

Primary practice address
Mcagctc , 23Rd Dental Bldg 1591 Twentynine Palms CA 92278
Phone: (760) 830-7054
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS031194L Pennsylvania

Profile Details

NPI number 1316930738
LBN Legal business name Konrad, Taras Josaphat
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Nov 20th, 2020 - about 5 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.

Request for update

Popular Providers