Individual
WILLIAM LOREN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
216 FOREST ST, KENYON, MN 55946-1151
(507) 789-6211
(507) 789-6210
Mailing address
6 DEER RIDGE RD, KENYON, MN 55946-1519
(507) 789-5423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D 10085
MN
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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