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Organization
PARK VIEW DENTAL ASSOC PC
Active
Organization
PARK VIEW DENTAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE JOAN SHAW DDS (PRESIDENT)
(563) 285-8566
Entity
Organization
Contact information
Practice address
5 A LINCOLN AVE, ELDRIDGE, IA 52748-9699
(563) 285-8566
(563) 285-8567
Mailing address
5 A LINCOLN AVE, ELDRIDGE, IA 52748-9699
(563) 285-8566
(563) 285-8567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IA06190
IA
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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