Individual
DR. JENNA GAUDIO EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-3596
Mailing address
818 HENSEL WOODS RD, COLUMBUS, OH 43230-3876
(740) 297-1787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
060631
NY
122300000X
Dentist
Primary
30.026084
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2018
Last updated
04/29/2024
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