Individual
DR. LELLAN DAWES EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1346 WINGATE ST, ORANGEBURG, SC 29118-2443
(803) 531-1799
(803) 531-8308
Mailing address
1346 WINGATE ST, ORANGEBURG, SC 29118-2443
(803) 531-1799
(803) 531-8308
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2403
SC
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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