Edson, Debra S
Edson, Debra S is an individual health care provider with primary practice located at 1000 Vale Terrace Dr , Vista CA 92084-5218. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Edson, Debra S can be contacted via phone (760) 631-5000.Contact Information
Primary practice address
1000 Vale Terrace Dr
Vista CA 92084-5218
Phone: (760) 631-5000
Fax: (760) 414-3710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20568 | Massachusetts |
| Dental Providers / Dentist | 122300000X | 56859 | California |
| Dental Providers / Dentist | 122300000X | 019027560 | Illinois |
Profile Details
| NPI number | 1770575888 |
|---|---|
| LBN Legal business name | Edson, Debra S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Mar 9th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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