Individual
DR. EVAN ETHAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8210 FLOYD CURL DR, SAN ANTONIO, TX 78229-3923
(210) 450-3700
Mailing address
8210 FLOYD CURL DR, SAN ANTONIO, TX 78229-3923
(210) 450-3700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4812
AR
1223G0001X
General Practice Dentistry
39867
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2023
Last updated
11/12/2024
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