NPI 1043686975

Conrad Ignatius Harmon

Practitioner Dental Hygienist Los Angeles, CA

Practice location

Address: 3004 W 46th St, Los Angeles, CA 90043-1321
Phone: (323) 974-1311

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 28984 (CA)

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Registry record

NPI: 1043686975
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2015
Record last updated: 14 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.