| NPI | 1528102183 |
|---|---|
| Other Name | ROBERT DOUGLAS EDWARDS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 4050) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 4050) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-04-09 |