Individual
MRS. SAMANTHA KERINA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2115 SW 50TH AVE, WEST PARK, FL 33023-3235
(954) 478-2743
Mailing address
2115 SW 50 TH AVENUE, WEST PARK, FL 33023
(954) 478-2743
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH18493
FL
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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