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Individual

LARAMIE JO EDENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
115 CALLE PORTAL, SIERRA VISTA, AZ 85635-2950
(520) 459-3011
(520) 417-4481
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-1429
(520) 515-8690

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012166
AZ

Other

Enumeration date
06/12/2024
Last updated
06/12/2024
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