Richard Mark Edwards, D.D.S.

NPI #1790851087 in Sparta, Wisconsin

Provider Information

NPI Number
1790851087
Entity Type
Individual
Name
Richard Mark Edwards, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
605 W WISCONSIN ST
City
Sparta
ZIP Code
54656-2334
Phone
(608) 269-5909

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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