MR. Edward Roland Cedillo

NPI #1205285525 in Fort Hood, Texas

Provider Information

NPI Number: 1205285525
Entity Type: Individual
Name: MR. Edward Roland Cedillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Jun 7, 2016
Last Updated: Jun 7, 2016

Practice Location

Address: 4431 68TH ST
Address 2: US ARMY DENTAL ACTIVITY
City: Fort Hood
State: Texas
ZIP Code: 76544-5042
Phone: (254) 287-1225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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