Individual
DR. RICHARD LEON EDWARDS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2730 WILSHIRE BLVD.,#410, SANTA MONICA, CA 90403-4706
(310) 453-8606
Mailing address
2708 WILSHIRE BLVD # 141, SANTA MONICA, CA 90403-4706
(310) 895-4229
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
57604
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2007
Last updated
01/12/2016
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