Organization
EDWARDS AND EDWARDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ROBINSON (OFFICE MANAGER)
(360) 786-9354
Entity
Organization
Contact information
Practice address
111 TUMWATER BLVD SE, SUITE A300, TUMWATER, WA 98501-6400
(360) 786-9354
Mailing address
111 TUMWATER BLVD SE, SUITE A300, TUMWATER, WA 98501-6400
(360) 786-9354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60651940
WA
122300000X
Dentist
Primary
FE0360406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609078310
NPI
WA
01
—
1669852513
NPI
WA
Enumeration date
04/10/2017
Last updated
04/10/2017
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