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Organization
KATHERINE V. CONWAY D.D.S. P. A
Active
Organization
KATHERINE V. CONWAY D.D.S. P. A
Active
Other names
Hastings Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE VERONICA CONWAY DDS (GENERAL DENTIST)
(651) 437-9764
Entity
Organization
Contact information
Practice address
955 HIGHWAY 55, SUITE 6, HASTINGS, MN 55033-2365
(651) 437-9764
(651) 438-3138
Mailing address
955 HIGHWAY 55, SUITE 6, HASTINGS, MN 55033-2365
(651) 437-9764
(651) 438-3138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10148
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000724372
UNITED CONCORDIA
—
05
—
513823000
—
MN
Enumeration date
09/20/2006
Last updated
05/28/2015
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