Individual
DR. GREGORY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1811 S RAINBOW BLVD, STE 208, LAS VEGAS, NV 89146-0894
(702) 433-2489
(702) 434-2483
Mailing address
4125 ERINBIRD AVE, NORTH LAS VEGAS, NV 89084-4807
(702) 396-5746
(702) 307-1903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2741
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2741
DENTAL LICENSE
NV
Enumeration date
07/14/2006
Last updated
05/01/2008
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