Russell G. Lewis DDS PC

NPI #1891872263 in Sandy, Utah

Provider Information

NPI Number: 1891872263
Entity Type: Organization
Organization Name: Russell G. Lewis DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 1, 2006
Last Updated: Jun 24, 2008

Practice Location

Address: 1434 E 9400 S
Address 2: #201
City: Sandy
State: Utah
ZIP Code: 84093-2957
Phone: (801) 572-0942

Authorized Official

Name: DR. RUSSELL G. LEWIS, D.D.S.
Title: OWNER
Phone: (801) 572-0942

Specialties & Taxonomy Codes

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

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