DR. Robert Dell Lewis, D.M.D.

NPI #1649470832 in Star, Idaho

Provider Information

NPI Number: 1649470832
Entity Type: Individual
Name: DR. Robert Dell Lewis, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 25, 2007
Last Updated: Jul 12, 2012

Practice Location

Address: 9776 W STATE ST
City: Star
State: Idaho
ZIP Code: 83669-5766
Phone: (208) 898-4080

Specialties & Taxonomy Codes

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

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