Individual
DR. MICHAEL DOUGLAS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MSD
Contact information
Practice address
8801 N MERIDIAN ST, SUITE 103, INDIANAPOLIS, IN 46260-2396
(317) 574-0600
(317) 574-0606
Mailing address
8801 N MERIDIAN ST, SUITE 103, INDIANAPOLIS, IN 46260-2396
(317) 574-0600
(317) 574-0606
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12010349A
IN
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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