Individual
DR. JOSHUA MICHAEL CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
(505) 326-5809
Mailing address
399 8TH ST NE, ATLANTA, GA 30309-4230
(858) 922-7001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
53987
CA
122300000X
Dentist
8897
TN
122300000X
Dentist
Primary
DD2877
NM
Other
Enumeration date
11/28/2006
Last updated
01/05/2011
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