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Individual

DR. ROBERT L EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1900 S HAWTHORNE ROAD, # 360 FORSYTH MEDICAL PARK, WINSTON SALEM, NC 27103
(336) 768-6520
(336) 768-6522
Mailing address
1900 S HAWTHORNE ROAD, # 360 FORSYTH MEDICAL PARK, WINSTON SALEM, NC 27103
(336) 768-6520
(336) 768-6522

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6335
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9003Q
BCBS
NC
Enumeration date
08/25/2006
Last updated
07/08/2007
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