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Individual

SHEILA C EDELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3050 MARTIN LUTHER KING JR DR SW, SUITE A, ATLANTA, GA 30311-1500
(404) 696-3163
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 546-3333

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3350
WI
1223G0001X
General Practice Dentistry
Primary
DN010724
GA

Other

Enumeration date
09/27/2006
Last updated
07/09/2007
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