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Provider Information for 1730406604



DR. NEAL C EDWARDS DDS

Gender: MALE

Individual NPI: 1730406604

Calendar Last Updated: 2010-04-30

Details

Name Value
NPI 1730406604
Enumeration Date 2010-04-30
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2860 MICHELLE
IRVINE, CA 92606-1009
United States

Phone: 714-368-2077 | Fax: 714-368-2092
View Map External Link
Primary Practice Address 422 ORANGE ST
REDLANDS, CA 92374-3206
United States

Phone: 909-792-7500 | Fax: 909-792-7500
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 56038
Other Identifiers
Issuer State Number