Organization
JUSTIN S EDWARDS DMD MSD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN EDWARDS D.M.D, M.S.D (ORGANIZER)
(509) 434-9364
Entity
Organization
Contact information
Practice address
1300 THORNTON ST, FREDERICKSBURG, VA 22401-4654
(540) 371-3222
(540) 371-9539
Mailing address
3618 LENOX FOREST DR, MIDLOTHIAN, VA 23113-3771
(509) 434-9364
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
041413260
VA
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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