Russell G. Lewis, D.D.S.

NPI #1700279197 in Sandy, Utah

Provider Information

NPI Number: 1700279197
Entity Type: Individual
Name: Russell G. Lewis, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 10, 2015
Last Updated: Mar 10, 2015

Practice Location

Address: 1434 E. 9400 S. STE 201
City: Sandy
State: Utah
ZIP Code: 84093
Phone: (801) 572-0942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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