Individual
DR. BRUCE W EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 26TH ST STE 302, SANTA MONICA, CA 90402-2567
(310) 393-2585
(310) 458-9981
Mailing address
270 26TH ST STE 302, SANTA MONICA, CA 90402-2567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23600
CA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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