Organization
JASON EDWARDS DDS, LLC
Active
Other names
Wakarusa Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON C EDWARDS DDS (DENTIST)
(816) 918-0905
Entity
Organization
Contact information
Practice address
4901 LEGENDS DR, LAWRENCE, KS 66049-5800
(816) 918-0905
Mailing address
15805 E CAMDEN CHASE ST, WICHITA, KS 67228-8122
(816) 918-0905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60939
KS
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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