Individual
C'VAEO EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16800 W 12 MILE RD STE 103, SOUTHFIELD, MI 48076-6335
(248) 443-5371
Mailing address
16800 W 12 MILE RD STE 103, SOUTHFIELD, MI 48076-6335
(248) 443-5371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602327
MI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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