Organization
MICHAEL L EDGAR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L EDGAR DDS (PRESIDENT)
(573) 431-5566
Entity
Organization
Contact information
Practice address
919 E MAIN ST, PARK HILLS, MO 63601-2717
(573) 431-5566
(573) 431-3345
Mailing address
919 E MAIN ST, PARK HILLS, MO 63601-2717
(573) 431-5566
(573) 431-3345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014114
MO
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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