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Organization
KELSI LEWIS DDS PLLC
Active
Organization
KELSI LEWIS DDS PLLC
Active
Other names
Glow Dental Co.
Organization subpart
No
Provider details
NPI number
Authorized official
KELSI LEWIS (DDS)
(409) 771-1166
Entity
Organization
Contact information
Practice address
7717 SOUTHWEST PKWY # 250, AUSTIN, TX 78735-8994
(409) 771-1166
Mailing address
7717 SOUTHWEST PKWY STE 150, AUSTIN, TX 78735-9007
(512) 572-4842
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/15/2020
Last updated
10/24/2025
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