Individual
JAMES B EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15188 N 75TH AVE, PEORIA, AZ 85381-4723
(623) 776-9696
Mailing address
605 COATE CT, ALTADENA, CA 91001-3866
(626) 791-8562
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
44394
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5598
AZ
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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