Individual
LAURA JEAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
3250 PLYMOUTH RD STE 302, ANN ARBOR, MI 48105-2552
(734) 747-6700
Mailing address
3250 PLYMOUTH RD STE 302, ANN ARBOR, MI 48105-2552
(734) 747-6700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901018349
MI
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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