Lewis, Bradley B

Lewis, Bradley B is an sole proprietor health care provider with primary practice located at 3400 Pacific Ave Apt 305 , Marina Del Rey CA 90292-7816. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Lewis, Bradley B can be contacted via phone (424) 228-4882.

Contact Information

Primary practice address
3400 Pacific Ave Apt 305 Marina Del Rey CA 90292-7816
Phone: (424) 228-4882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 331117 California

Profile Details

NPI number 1326719832
LBN Legal business name Lewis, Bradley B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2021
Last updated Sep 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers