NPI 1689339889

Conor Carbone, DPD

Practitioner Denturist Olympia, WA

Practice location

Address: 200 Lilly Rd NE STE a, Olympia, WA 98506-5080
Phone: (360) 412-0812

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN60981457 (WA)

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Registry record

NPI: 1689339889
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2021
Record last updated: 2 Nov 2021

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.