Organization
WILLIAM L LEWIS D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L LEWIS D.D.S. (OWNERCEO)
(507) 789-6211
Entity
Organization
Contact information
Practice address
216 FOREST ST, KENYON, MN 55946-1151
(507) 789-6211
(507) 789-6210
Mailing address
216 FOREST ST, KENYON, MN 55946-1151
(507) 789-6211
(507) 789-6210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D 10085
MN
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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