Individual
DR. DAVID M LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3175 S MERIDIAN RD STE 150, MERIDIAN, ID 83642-9267
(208) 888-5470
Mailing address
317 W CHERRY LN, MERIDIAN, ID 83642-1608
(208) 888-2055
(208) 895-0583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3810
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806916200
—
ID
Enumeration date
11/11/2006
Last updated
02/19/2024
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