Organization
KRISTIN C EDWARDS DDS PLLC
Active
Other names
West Richmond Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN EDWARDS DDS (PRESIDENT)
(804) 282-9600
Entity
Organization
Contact information
Practice address
5318 PATTERSON AVE STE A, RICHMOND, VA 23226-2044
(804) 282-9600
(804) 282-4473
Mailing address
5318 PATTERSON AVE STE A, RICHMOND, VA 23226-2044
(804) 282-9600
(804) 282-4473
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124471255
1124471255
VA
01
—
1932129467
1932129467
VA
Enumeration date
12/05/2019
Last updated
12/05/2019
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