Organization
CHARLES M EDWARDS JR DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M EDWARDS JR. DMD (OWNER)
(904) 388-9038
Entity
Organization
Contact information
Practice address
774 N EDGEWOOD AVE, JACKSONVILLE, FL 32254
(904) 388-9038
(904) 388-9473
Mailing address
774 N EDGEWOOD AVE, JACKSONVILLE, FL 32254
(904) 388-9038
(904) 388-9473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6342
FL
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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