| NPI | 1700308863 |
|---|---|
| Doing Business As | EDGEWATER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRADLEY WOODHAM President 239-481-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17101) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |