Individual
DR. TIMOTHY A. LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9415 N BEACH ST, FORT WORTH, TX 76244-9059
(817) 741-2200
(817) 741-2216
Mailing address
9415 N BEACH ST, FORT WORTH, TX 76244-9059
(817) 741-2200
(817) 741-2216
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0022906
TX
Other
Enumeration date
01/05/2007
Last updated
03/16/2021
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