Organization
MICHAEL CONWAY DDS PLLC
Active
Other names
Kenmore Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI ANNE SHACKELFORD (OFFICE MANGER)
(425) 485-0588
Entity
Organization
Contact information
Practice address
5723 NE BOTHELL WAY STE B, KENMORE, WA 98028-9404
(425) 485-0588
(425) 483-6189
Mailing address
5723 NE BOTHELL WAY STE B, KENMORE, WA 98028-9404
(425) 485-0588
(425) 483-6189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7496
WA
Other
Enumeration date
01/26/2011
Last updated
07/21/2016
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