Individual
DR. STAN EDWIN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1585 SW MARLOW AVE STE 220, PORTLAND, OR 97225-5178
(503) 297-7231
(503) 291-1335
Mailing address
1585 SW MARLOW AVE STE 220, PORTLAND, OR 97225-5178
(503) 297-7231
(503) 291-1335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8733
OR
1223G0001X
General Practice Dentistry
DD2753
NM
1223G0001X
General Practice Dentistry
DE00009370
WA
Other
Enumeration date
08/24/2005
Last updated
10/29/2007
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