DR. Randall David Lewis, DDS

NPI #1639287253 in Durand, Michigan

Provider Information

NPI Number: 1639287253
Entity Type: Individual
Name: DR. Randall David Lewis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 25, 2006
Last Updated: Apr 6, 2011

Practice Location

Address: 103 W. CLINTON ST.
Address 2: SUITE A
City: Durand
State: Michigan
ZIP Code: 48473
Phone: (989) 288-6165

Specialties & Taxonomy Codes

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

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Organizations

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