DR. Diane Leslie Edge, DDS

NPI #1982710141 in Coronado, California

Provider Information

NPI Number: 1982710141
Entity Type: Individual
Name: DR. Diane Leslie Edge, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1012 ISABELLA AVE
City: Coronado
State: California
ZIP Code: 92118-2820
Phone: (619) 435-0147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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