DR. Scott Richard Lewis, DDS

NPI #1790793875 in Rexburg, Idaho

Provider Information

NPI Number
1790793875
Entity Type
Individual
Name
DR. Scott Richard Lewis, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
300 N 2ND E
State
Idaho
ZIP Code
83440-1604
Phone
(208) 356-9459

Specialties & Taxonomy Codes

Specialty
Dentist

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