Individual
ROLAND EDWARDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 EAST AVE, SUITE 11, NORWALK, CT 06851-5710
(203) 299-1601
Mailing address
161 EAST AVE, SUITE 11, NORWALK, CT 06851-5710
(203) 299-1601
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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