Individual
DENTRICE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 DAUPHIN ST, MOBILE, AL 36608-1780
(251) 380-4000
Mailing address
5652 BOLING RD, MOUNT OLIVE, AL 35117-3910
(205) 720-3133
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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