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Organization
JOHN GREGGORY EDWARDS
Active
Organization
JOHN GREGGORY EDWARDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GREGGORY EDWARDS DDS (OWNER)
(650) 591-9977
Entity
Organization
Contact information
Practice address
1785 SAN CARLOS AVE, STE #6, SAN CARLOS, CA 94070-2026
(650) 591-9977
(650) 637-2005
Mailing address
1785 SAN CARLOS AVE, STE #6, SAN CARLOS, CA 94070-2026
(650) 591-9977
(650) 637-2005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24772
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2477201
DENTICAL
CA
Enumeration date
06/05/2007
Last updated
08/22/2020
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