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Dr. Claude Reynolds Edwards Jr., DDS

Dentist, General Practice in Sanford, FL. Individual provider (NPI-1).

NPI number1164511598
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1164511598
Entity type
Individual (NPI-1)
Name
Dr. Claude Reynolds Edwards Jr.
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice8150FLYes

Practice location

2509 Park Dr
Sanford, FL 32773-5106

Phone 407-322-6052 · Fax 407-322-6059

Mailing address

2509 Park Dr
Sanford, FL 32773-5106

Phone 407-322-6052 · Fax 407-322-6059

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