DR. BRAD CONVISSAR, DMD
Dentist - General Practice
Active
Individual
NPI: 1316009871
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 22DI02233900 (NJ) |
Frequently Asked Questions
NPI 1316009871 is the National Provider Identifier for DR. BRAD CONVISSAR, DMD, a Dentist - General Practice provider located in Mount Laurel, NJ. This NPI was enumerated on December 14, 2006.
DR. BRAD CONVISSAR, DMD practices at 2 RANCOCAS BLVD, Mount Laurel, NJ 08054.
Quick Facts
- NPI
- 1316009871
- Type
- Individual
- Enumerated
- Dec 14, 2006
- Last Updated
- Dec 31, 2021
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