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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