| NPI | 1013966019 |
|---|---|
| Other Name | CHUCK EDWARDS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 51732) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 0014494) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-01-28 |