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Individual

RONALD A. LEWIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
525 RIVERGATE PKWY, SUITE 1, GOODLETTSVILLE, TN 37072-2078
(615) 859-2276
(615) 859-2328
Mailing address
525 RIVERGATE PKWY, SUITE 1, GOODLETTSVILLE, TN 37072-2078
(615) 859-2276
(615) 859-2328

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3934
TN

Other

Enumeration date
08/16/2005
Last updated
07/08/2007
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