| John Greggory Edwards | |
|
1785 San Carlos Ave Ste #6 San Carlos CA 94070-2026 | |
| (650) 591-9977 | |
| (650) 637-2005 |
| Full Name | John Greggory Edwards |
|---|---|
| Speciality | Dentist |
| Location | 1785 San Carlos Ave, San Carlos, California |
| Authorized Official Name and Position | John Greggory Edwards (OWNER) |
| Authorized Official Contact | 6505919977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Greggory Edwards 1785 San Carlos Ave Ste #6 San Carlos CA 94070-2026 Ph: (650) 591-9977 | John Greggory Edwards 1785 San Carlos Ave Ste #6 San Carlos CA 94070-2026 Ph: (650) 591-9977 |
| NPI Number | 1821290230 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821290230 | NPI | - | NPPES |
| B2477201 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24772 (* (Not Available)) | Primary |
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