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Individual
JOSHUA LEWIS
Active
Individual
JOSHUA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2017028241
MO
122300000X
Dentist
Primary
5167
ID
1223G0001X
General Practice Dentistry
D5167
ID
Other
Enumeration date
08/07/2017
Last updated
04/30/2025
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