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Organization
JEAN A. LEWIS DMD, PC
Active
Organization
JEAN A. LEWIS DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN A. LEWIS DMD (PRESIDENT)
(520) 490-5743
Entity
Organization
Contact information
Practice address
1245 SE 3RD ST STE A1, BEND, OR 97702-2162
(520) 490-5743
Mailing address
1245 SE 3RD ST STE A1, BEND, OR 97702-2162
(520) 490-5743
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9804
OR
Other
Enumeration date
05/15/2009
Last updated
01/22/2013
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