Lewis Family Dentistry, LLC
NPI #1487106282 in Logansport, Indiana
Provider Information
- NPI Number
- 1487106282
- Entity Type
- Organization
- Organization Name
- Lewis Family Dentistry, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 27, 2016
- Last Updated
- Oct 27, 2016
Practice Location
- Address
- 2401 E BROADWAY
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-2056
- Phone
- (574) 722-3107
Authorized Official
- Name
- DR. JAY LEWIS, DDS
- Title
- SOLE MEMBER
- Phone
- (574) 722-3107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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