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Organization
KEVIN E. LEW, DDS, MD, INC.
Active
Organization
KEVIN E. LEW, DDS, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN EDWARD LEW DDS, MD (PRESIDENT)
(323) 465-6451
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD, SUITE 617, LOS ANGELES, CA 90004-3025
(323) 465-6451
(323) 465-6446
Mailing address
321 N LARCHMONT BLVD, SUITE 617, LOS ANGELES, CA 90004-3025
(323) 465-6451
(323) 465-6446
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48634
CA
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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