Individual
CHASE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1055 17TH AVE, SUITE 104, LONGMONT, CO 80501-2680
(303) 776-1335
(303) 776-7516
Mailing address
1055 17TH AVE, SUITE 104, LONGMONT, CO 80501-2680
(303) 776-1335
(303) 776-7516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202571
CO
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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