Individual
DR. KENT STOLPE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4970 S 900 E, SUITE G, SALT LAKE CITY, UT 84117-5776
(801) 262-9444
Mailing address
4970 SOUTH 900 EAST, SUITE G, SALT LAKE CITY, UT 84117-5776
(801) 262-9444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
140478-9922
UT
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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