Individual
DR. PAUL C. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1121 W MICHIGAN STREET, INDIANAPOLIS, IN 46202-5186
(317) 274-5628
(317) 274-2603
Mailing address
1121 W MICHIGAN STREET, INDIANAPOLIS, IN 46202-5186
(317) 274-5628
(317) 274-2603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019526
MI
1223P0106X
Oral and Maxillofacial Pathology Dentistry
106
NE
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
12012036A
IN
Other
Enumeration date
08/29/2005
Last updated
10/31/2013
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