Individual
DR. MARK R MCCONAUGHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
922 RAINBOW DR, CEDAR FALLS, IA 50613-6500
(319) 266-7559
(319) 277-5140
Mailing address
922 RAINBOW DR, CEDAR FALLS, IA 50613-6500
(319) 266-7559
(319) 277-5140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06464
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1167007
—
IA
Enumeration date
02/13/2007
Last updated
07/08/2007
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