DR. Lewis W. Irby JR., DDS

NPI #1356529556 in Blackstone, Virginia

Provider Information

NPI Number: 1356529556
Entity Type: Individual
Name: DR. Lewis W. Irby JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 11, 2008
Last Updated: Feb 11, 2008

Practice Location

Address: 929 S MAIN ST
City: Blackstone
State: Virginia
ZIP Code: 23824-2610
Phone: (434) 292-3695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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