| NPI | 1902676711 |
|---|---|
| Doing Business As | EDGEWATER DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JAMES Owner 971-707-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2026-07-17 |