Organization
BXPQ DENTAL KATHRYN A. LEWIS, D.D.S., LLC
Active
Other names
Dental Image
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN ANN LEWIS D.D.S. (OWNER)
(419) 887-5404
Entity
Organization
Contact information
Practice address
5850 WECKERLY RD, WHITEHOUSE, OH 43571-9510
(419) 877-5404
Mailing address
5850 WECKERLY RD, WHITEHOUSE, OH 43571-9510
(419) 877-5404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30022405
OH
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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