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Organization

GILLIAN EDWARDS DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GILLIAN EDWARDS DDS (PRESIDENT)
(989) 755-0991
Entity
Organization

Contact information

Practice address
427 N MICHIGAN AVENUE, SAGINAW, MI 48602-4314
(989) 755-0991
(989) 755-0001
Mailing address
427 N MICHIGAN AVENUE, SAGINAW, MI 48602-4314
(989) 755-0991
(989) 755-0001

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14398
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1745800
MI
05
4976113
MI
Enumeration date
12/01/2006
Last updated
07/01/2010
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