| NPI | 1396127585 |
|---|---|
| Other Name | EDMONDSON FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JON ERWYNN EDMONDSON President 410-944-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 11146) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |