Organization
LEE J EDWARDS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE J EDWARDS DDS (MEMBER)
(360) 491-4343
Entity
Organization
Contact information
Practice address
1450 NORTHWEST LN SE, LACEY, WA 98503-6908
(360) 491-4343
Mailing address
1450 NORTHWEST LN SE, LACEY, WA 98503-6908
(360) 491-4343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60234008
WA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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