MEDICARE: DR. LAURA CRISTINA EDWARDS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN 20339	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629400098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA CRISTINA EDWARDS D.D.S.

Provider Business Mailing Address
First Line	:	2333 BRICKELL AVE APT 902
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2411
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2333 BRICKELL AVE APT 902
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2411
Country	:	US
Telephone Number	:	305-773-0555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	12/01/2017

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