Individual
VALEXIA JACYNTA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
106 FORT DALE ST, GREENVILLE, AL 36037-2233
(334) 382-7844
Mailing address
106 FORT DALE ST, GREENVILLE, AL 36037-2233
(334) 382-7844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3883-16
MS
122300000X
Dentist
Primary
D-0006758-C1
AL
Other
Enumeration date
08/07/2015
Last updated
04/20/2023
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