Organization
JON E EDMONDSON D.D.S., P.A.
Active
Other names
Edmondson Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON ERWYNN EDMONDSON D.D.S. (PRESIDENT)
(410) 944-9090
Entity
Organization
Contact information
Practice address
3100 LORD BALTIMORE DR, SUITE 210, BALTIMORE, MD 21244-2879
(410) 944-9090
Mailing address
3100 LORD BALTIMORE DR, SUITE 210, BALTIMORE, MD 21244-2879
(410) 944-9090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11146
MD
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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