Individual
DR. KRYSTAL ANGELIQUE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
301 W END AVE, DICKSON, TN 37055-1725
(615) 446-2839
Mailing address
301 W END AVE, DICKSON, TN 37055-1725
(615) 446-2839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000008904
TN
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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