Letitia Marie Edwards
Pediatric Dentist
5531 Brushy Peak Ct
Livermore
, California 94551-6939
Letitia Marie Edwards
Pediatric Dentist
5531 Brushy Peak Ct
Livermore
, California 94551-6939
(925) 998-1166
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Letitia Marie Edwards
- 5531 Brushy Peak Ct
- Livermore, CA
- Zip : 94551-6939
- Phone : (925) 998-1166
Second Address
- Letitia Marie Edwards
- 5531 Brushy Peak Ct
- Livermore, CA
- Zip : 94551-6939
- Phone : (925) 998-1166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | NONE | CA |
National Provider Identifier
| NPI | 1063040913 |
|---|---|
| Provider Name | Letitia Marie Edwards |
| First Address | Livermore, CA 94551-6939 |
| Second Address | Livermore, CA 94551-6939 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2020 |
| Last Update Date | 27/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.