DR. Larry Scott Lewis, DDS
NPI #1215146105 in Modesto, California
Provider Information
- NPI Number
- 1215146105
- Entity Type
- Individual
- Name
- DR. Larry Scott Lewis, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3609 COFFEE RD STE 3
- City
- Modesto
- State
- California
- ZIP Code
- 95355-1100
- Phone
- (209) 526-1190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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