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Organization

CONWAY DDS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAIVYN CONWAY DDS (CEO)
(619) 477-1184
Entity
Organization

Contact information

Practice address
9750 MIRAMAR RD STE 100, SAN DIEGO, CA 92126-4561
(858) 271-7440
(858) 271-0180
Mailing address
PO BOX 501265, SAN DIEGO, CA 92150-1265
(619) 807-8710
(619) 474-4948

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/26/2022
Last updated
09/26/2022
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