Individual
NEIL WILLIAM EDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
133 BIRCH ST, KINGSFORD, MI 49802-5219
(478) 595-5156
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH012993
GA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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