Individual
DR. EDMOND RAYMOND HEWLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 350, LOS ANGELES, CA 90095-0001
(310) 794-5750
(310) 208-0786
Mailing address
4812 PRESIDIO DR, LOS ANGELES, CA 90043-1608
(323) 291-5581
(310) 825-2536
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
29894
CA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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