Individual
PATRICIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
119 N 50TH AVE, YAKIMA, WA 98908-2862
(509) 965-7909
Mailing address
212 N 89TH AVE, YAKIMA, WA 98908-4513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61579582
WA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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