Individual
DR. CONWAY UPSHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-0566
(804) 828-2977
Mailing address
1019 PACIFIC AVE STE 300, TACOMA, WA 98402-4488
(253) 589-7188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412409
VA
Other
Enumeration date
01/23/2006
Last updated
04/16/2020
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