| 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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