Justin S Edwards Dmd Msd Plc | |
1300 Thornton St Fredericksburg VA 22401-4654 | |
(540) 371-3222 | |
(540) 371-9539 |
Full Name | Justin S Edwards Dmd Msd Plc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 1300 Thornton St, Fredericksburg, Virginia |
Authorized Official Name and Position | Justin Edwards (ORGANIZER) |
Authorized Official Contact | 5094349364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Justin S Edwards Dmd Msd Plc 3618 Lenox Forest Dr Midlothian VA 23113-3771 Ph: (509) 434-9364 | Justin S Edwards Dmd Msd Plc 1300 Thornton St Fredericksburg VA 22401-4654 Ph: (540) 371-3222 |
NPI Number | 1043624505 |
---|---|
Provider Enumeration Date | 06/12/2014 |
Last Update Date | 06/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043624505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 041413260 (Virginia) | Primary |
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