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Individual
DR. WANDA L LEWIS
Active
Individual
DR. WANDA L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009742001
—
TX
Enumeration date
07/30/2008
Last updated
07/30/2008
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