Individual
DR. DOUGLAS KENT EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 353-3900
(503) 353-3903
Mailing address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 353-3900
(503) 353-3903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6452
OR
1223G0001X
General Practice Dentistry
DE00006942
WA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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