Organization
KALONA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN CONWELL DDS (PRESIDENT)
(319) 656-3601
Entity
Organization
Contact information
Practice address
1206 E AVENUE, KALONA, IA 52247-9767
(319) 656-3601
(319) 656-3603
Mailing address
1206 E AVENUE, KALONA, IA 52247-9767
(319) 656-3601
(319) 656-3603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5245
IA
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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