# CHRISTINA LEWIS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396845590
- **Authorized official:** RACHEL RAZO (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (623) 434-9343

## Contact information

- **Practice address:** 4760 S PECOS RD, \#103, LAS VEGAS, NV 89121-5828
- **Practice address phone:** (623) 434-9343
- **Practice address fax:** (623) 321-6268
- **Mailing address:** 32885 SAND PIPER DR, ROMULUS, MI 48174-4395
- **Mailing address phone:** (734) 728-1621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4949 | NV | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020