Individual
DR. JON EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3100 LORD BALTIMORE DR, SUITE 210, BALTIMORE, MD 21244-2879
(410) 944-9090
(410) 944-5119
Mailing address
3100 LORD BALTIMORE DR, SUITE 210, BALTIMORE, MD 21244-2879
(410) 944-9090
(410) 944-5119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11146
MD
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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