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Individual

KATHERINE VERONICA CONWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

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
MN
05
513823000
MN
Enumeration date
01/03/2007
Last updated
11/23/2021
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