| NPI | 1205101201 |
|---|---|
| Other Name | PATRICK STEVENS EDWARDS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 126800000X Dental Assistant (Licence: OR A30373) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: WA D1 60053125) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |