Individual
DANIEL VERNON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4040 PARK BLVD, OAKLAND, CA 94602-1118
(510) 530-5530
(510) 482-9830
Mailing address
4040 PARK BLVD, OAKLAND, CA 94602-1118
(510) 530-5530
(510) 482-9830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29791
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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