DR. Richard Conway, DDS

NPI #1811980550 in Jacksonville, Florida

Provider Information

NPI Number
1811980550
Entity Type
Individual
Name
DR. Richard Conway, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 29, 2005
Last Updated
Feb 17, 2009

Practice Location

Address
BLDG H 2005 KNIGHT LANE
Address 2
NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
State
Florida
ZIP Code
32212-0140
Phone
(760) 725-7479

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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