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Contact Information

RICHARD L EDWARDS IV, DDS
2730 WILSHIRE BLVD.,#410
SANTA MONICA, CA90403-4706
 Phone: 310-453-8606
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RICHARD L EDWARDS IV · (Male)

NPI Number 1811180961
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/22/2007
Last updated 01/12/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 57604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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