Most Relevant Information
Provider Data
| NPI Number: | 1003820895 |
| Provider Name: | EDWARD LEW D.M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 53083 |
Most Important Dates
| Enumeration Date: | 07/28/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
767 N HILL ST
SUITE 200
LOS ANGELES
CA
900122343
Practice Location Phone/Fax
| Phone: | 2138081790 |
| Fax: |
Provider Mailing Location
7123 ZION LN
SAN GABRIEL
CA
917751461
Provider Mailing Phone/Fax
| Phone: | 6263091237 |
| Fax: |