Individual
DR. SHAD JOHN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2211 QUARRY DR, SUITE E67, READING, PA 19609-1161
(610) 678-5700
(610) 678-5021
Mailing address
2211 QUARRY DR, SUITE E67, READING, PA 19609-1161
(610) 678-5700
(610) 678-5021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035563
PA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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