Jonathon Edwards

NPI #1013377829 in Gilbert, Arizona

Provider Information

NPI Number: 1013377829
Entity Type: Individual
Name: Jonathon Edwards
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2016
Last Updated: Mar 7, 2016

Practice Location

Address: 1327 S NIELSON ST
City: Gilbert
State: Arizona
ZIP Code: 85296-4265
Phone: (480) 868-1864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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