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Organization
MICHAEL CONWAY DDS PLLC
Active
Organization
MICHAEL CONWAY DDS PLLC
Active
Other names
Kenmore Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI ANNE SHACKELFORD (OFFICE MANGER)
(425) 485-0588
Entity
Organization
Contact information
Practice address
5723 NE BOTHELL WAY STE B, KENMORE, WA 98028-9404
(425) 485-0588
(425) 483-6189
Mailing address
5723 NE BOTHELL WAY STE B, KENMORE, WA 98028-9404
(425) 485-0588
(425) 483-6189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7496
WA
Other
Enumeration date
01/26/2011
Last updated
07/21/2016
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