Individual
DOUGLAS G. EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4714 N ARMENIA AVE STE 200, TAMPA, FL 33603-2603
(813) 885-6555
(318) 262-2527
Mailing address
204 37TH AVE N # 404, ST PETERSBURG, FL 33704-1416
(516) 987-1934
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN23254
FL
Other
Enumeration date
01/30/2017
Last updated
09/18/2023
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