Organization
EDWARDS & KETCHER, PLLC
Active
Other names
Elma Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN EDWARDS DMD (OWNER/MANAGER)
(360) 861-8318
Entity
Organization
Contact information
Practice address
410 W MAIN ST, ELMA, WA 98541
(360) 861-8318
(360) 861-8539
Mailing address
PO BOX 1309, 410 W MAIN ST, ELMA, WA 98541-1309
(360) 861-8318
(360) 861-8539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE000010695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386734416
NPI
—
01
—
1427022326
NPI
—
Enumeration date
05/09/2013
Last updated
05/09/2013
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