Individual
LEAH J EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
306 S ASH ST, MALVERN, AR 72104-3918
(501) 332-4979
Mailing address
2485 COUNTRY CLUB RD, MALVERN, AR 72104-6357
(501) 467-0740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4496
AR
Other
Enumeration date
03/31/2020
Last updated
03/17/2025
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