Individual
DR. KEN E EDWARDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3502 SATELLITE BLVD, DULUTH, GA 30096
(770) 476-9000
Mailing address
1650 OAKBROOK DR, SUITE 440, NORCROSS, GA 30093
(770) 446-8000
(770) 446-8000
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
GA8493
GA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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