Individual
MARLYS PETERSON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
22 PLAZA RD, FLANDERS, NJ 07836-9416
(973) 252-1099
Mailing address
77 IRONIA RD, MENDHAM, NJ 07945-3141
(973) 543-6287
(973) 543-1918
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI00149500
NJ
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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