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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