Individual
DR. PHILIP B. EDGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5 CALLE MEDICO, SUITE-A, SANTA FE, NM 87505-4762
(505) 988-3209
(505) 988-7513
Mailing address
5 CALLE MEDICO, SUITE-A, SANTA FE, NM 87505-4762
(505) 988-3209
(505) 988-7513
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1234
NM
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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