Organization
DONALD B. EDWARDS, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD EDWARDS D.D.S. (DR.)
(772) 567-3500
Entity
Organization
Contact information
Practice address
927 37TH PL, SUITE C2, VERO BEACH, FL 32960
(772) 567-3500
(772) 567-8627
Mailing address
927 37TH PL, SUITE C2, VERO BEACH, FL 32960-4873
(772) 567-3500
(772) 567-8627
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN7683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63582
MEDICARE
FL
Enumeration date
10/05/2010
Last updated
09/16/2013
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