Individual
DR. JILL EDWARDS ATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
3192 S JOHN YOUNG PKWY, SUITE B, KISSIMMEE, FL 34746-8814
(407) 870-5151
(407) 870-2556
Mailing address
3192 S JOHN YOUNG PKWY, SUITE B, KISSIMMEE, FL 34746-8814
(407) 870-5151
(407) 870-2556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18675
FL
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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