Individual
PATRICK EDWARD CONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
840 N KINZIE AVE, STE B, BRADLEY, IL 60915
(815) 936-9941
(815) 836-6161
Mailing address
PO BOX 316, WILLIAMSVILLE, NY 14231
(716) 204-4999
(716) 632-2963
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38825
CA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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