Individual
DR. JESSE R. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7319 W COLONIAL DR, ORLANDO, FL 32818-6746
(407) 294-9200
(407) 294-1577
Mailing address
1408 SYMPHONY CT, ORLANDO, FL 32804-8054
(407) 415-8600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20654
FL
Other
Enumeration date
07/02/2014
Last updated
12/18/2014
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