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Dr. Richard Leon Edwards IV, DDS
Student in an Organized Health Care Education/Training Program in Santa Monica, California
NPI 1811180961

Richard Leon Edwards IV is a Student in an Organized Health Care Education/Training Program based in Santa Monica, CA. Richard Leon Edwards IV practices in Santa Monica, CA and has the professional credentials of DDS. The NPI Number for Richard Leon Edwards IV is 1811180961 and holds a License No. 57604 (California).

The current practice location address for Richard Leon Edwards IV is 2730 Wilshire Blvd.,#410, Santa Monica, CA and can be reached out via phone at 310-453-8606.

Location: 2730 Wilshire Blvd.,#410, Santa Monica, CA, 90403-4706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811180961
Provider Name
Richard Leon Edwards IV
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2730 Wilshire Blvd.,#410, Santa Monica, CA, 90403-4706
Phone Number
310-453-8606
Fax Number
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2730 Wilshire Blvd.,#410
City
Santa Monica
State
California
Zip
90403-4706
Phone Number
310-453-8606
Fax Number
person
Provider Business Mailing Address Details
Address
2730 Wilshire Blvd.,#410
City
Santa Monica
State
California
Zip
90403-4706
Phone Number
310-453-8606
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
()
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
57604 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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