Individual
MOLLY EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2066 US HIGHWAY 45 BYP S, TRENTON, TN 38382-3507
(731) 855-1053
Mailing address
2066 US HIGHWAY 45 BYP S, TRENTON, TN 38382-3507
(662) 418-0094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS11258
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/05/2019
Last updated
09/01/2020
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