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Individual

DR. EDWARD LEE DONALDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1631 WETZEL AVE BLDG 815, FT CARSON, CO 80913-4095
(719) 526-5537
Mailing address
1710 VICTORIAN PT, COLORADO SPRINGS, CO 80904-4200
(719) 474-1184

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104129
CO

Other

Enumeration date
10/24/2006
Last updated
07/08/2007
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