Individual
DR. EDWARD JEFFREY CANDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16 WATER ST, WELLSBORO, PA 16901
(570) 724-1967
Mailing address
PO BOX 683, 16 WATER ST, WELLSBORO, PA 16901
(570) 724-1967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019025L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141560
UNITED CONCORDIA
PA
Enumeration date
08/14/2006
Last updated
07/08/2007
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