Individual
DR. MICHAEL Q. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
124 W MAIN ST, UNION, MO 63084-1363
(636) 583-2612
(636) 583-6479
Mailing address
124 W MAIN ST, UNION, MO 63084-1363
(636) 583-2612
(636) 583-6479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE015747
MO
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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