Organization
CONWAY & BUCAJ DENTISTRY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MICHAEL CONWAY JR. DDS (PRESIDENT)
(772) 569-4118
Entity
Organization
Contact information
Practice address
3755 7TH TER, SUITE 303, VERO BEACH, FL 32960-6528
(772) 569-4118
(772) 569-9446
Mailing address
3755 7TH TER, SUITE 303, VERO BEACH, FL 32960-6528
(772) 569-4118
(772) 569-9446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17124
FL
1223G0001X
General Practice Dentistry
Primary
8492
FL
1223G0001X
General Practice Dentistry
9340
FL
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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