Individual
KEVIN EDWARD LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
321 NORTH LARCHMONT BLVD., SUITE 617, LOS ANGELES, CA 90004
(323) 465-6451
(323) 465-6446
Mailing address
321 NORTH LARCHMONT BLVD., SUITE 617, LOS ANGELES, CA 90004
(323) 465-6451
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
48634
CA
Other
Enumeration date
08/04/2006
Last updated
12/09/2008
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