| NPI | 1124747589 |
|---|---|
| Doing Business As | EDWARDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | BROCK ALEXANDER CAMERON Owner/Dentist 618-977-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |