Organization
JESSE EDWARDS DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE EDWARDS DMD (MANAGER)
(407) 415-8600
Entity
Organization
Contact information
Practice address
2815 CORRINE DR, ORLANDO, FL 32803-2235
(407) 894-5061
(407) 897-0887
Mailing address
2815 CORRINE DR, ORLANDO, FL 32803-2235
(407) 894-5061
(407) 897-0887
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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