Individual
DARRELL W LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
416 ELM ST, WASHINGTON, MO 63090-2310
(636) 239-2804
(636) 239-9660
Mailing address
416 ELM ST, WASHINGTON, MO 63090-2310
(636) 239-2804
(636) 239-9660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3014263
MO
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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