James William Conway DDS, MSD

NPI 1003966904 - Dentist - 1223P0300X

NPI Details
NPI 1003966904
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3001A SIXTH ST
GREAT LAKES IL, 60088, US
Phone (847) 688-3331
Fax
Business Location
3001A SIXTH ST.
GREAT LAKES IL, 60088-2209, US
Phone (847) 688-3331
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State Illinois
License Number 021-01184
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According to our database, Dr. James William Conway DDS, MSD NPI is 1003966904, taxonomy code is 1223P0300X and license number is 021-01184, license state is located at Illinois. James William Conway DDS, MSD physically located at 3001a Sixth St, Great Lakes IL, 60088. NPI Number James William Conway DDS, MSD has the Individual type.

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1003966904 NPI number is provided on an as is basis without warranty of any kind. 1003966904 is maintained by the National Plan & Provider Enumeration System. The contents of James William Conway DDS, MSD are for informational purposes only.