EVAN ETHAN EDWARDS

SAN ANTONIO, TX
NPI1649971110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AR  4812)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: TX  39867)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-13
Last Update Date2024-11-12
Business Address
Dr. EVAN ETHAN EDWARDS
8210 FLOYD CURL DR
SAN ANTONIO, TX 78229-3923
Phone number: 210-450-3700
Mailing Address
Dr. EVAN ETHAN EDWARDS
8210 FLOYD CURL DR
SAN ANTONIO, TX 78229-3923
Phone number: 210-450-3700