Organization
JENNY EDWARDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY ANNE EDWARDS DMD (MGRM)
(813) 545-9081
Entity
Organization
Contact information
Practice address
11246 SULLIVAN STREET, RIVERVIEW, FL 33578
(813) 545-9081
Mailing address
3433 LITHIA PINECREST RD # 103, VALRICO, FL 33596-6302
(813) 545-9081
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN19077
FL
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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