EDISON DER, DDS

Dentist - General Practice

Active Individual
NPI: 1861482010

Practice Address

148 N GRAND AVE
West Covina, CA 91791

Phone: (626) 858-3305

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 24768 (CA)

Frequently Asked Questions

NPI 1861482010 is the National Provider Identifier for EDISON DER, DDS, a Dentist - General Practice provider located in West Covina, CA. This NPI was enumerated on October 27, 2005.
EDISON DER, DDS practices at 148 N GRAND AVE, West Covina, CA 91791.

Quick Facts

NPI
1861482010
Type
Individual
Enumerated
Oct 27, 2005
Last Updated
Jul 8, 2007

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