Organization
GRACE M. EDWARDS DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GRACE MAPILI EDWARDS DMD (OWNER/DENTIST/PRESIDENT)
(501) 817-3157
Entity
Organization
Contact information
Practice address
16115 ST. VINCENT WAY, SUITE 110, LITTLE ROCK, AR 72223-3001
(501) 817-3157
(501) 817-3160
Mailing address
16115 ST. VINCENT WAY, SUITE 110, LITTLE ROCK, AR 72223-3001
(501) 817-3157
(501) 817-3160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
3579
AR
Other
Enumeration date
07/01/2009
Last updated
03/22/2022
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