Nicole Danielle Edwards, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Bridgeport, CT

NPI

1134569932

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

011273 (CT)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-06-26

Last updated

2015-02-16