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Organization

DONALD B. EDWARDS, D.D.S., P.A.

Active
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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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