Organization
DONALD PAUL CONNOLLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD PAUL CONNOLLY D.D.S. (OWNER/ ORTHODONTIST)
(831) 722-5595
Entity
Organization
Contact information
Practice address
386 S GREEN VALLEY RD, WATSONVILLE, CA 95076-3007
(831) 722-5595
Mailing address
386 S GREEN VALLEY RD, WATSONVILLE, CA 95076-3007
(831) 722-5595
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24283
CA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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