Individual
DR. CHAD S LEWISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1110 W 5TH ST, CANTON, SD 57013-1543
(605) 764-3179
(605) 764-3181
Mailing address
1110 W 5TH ST, CANTON, SD 57013-1543
(605) 764-3179
(605) 764-3181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M954
SD
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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