Individual
SCOTT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3409 W 12600 S STE 100, RIVERTON, UT 84065-7266
(801) 561-1559
Mailing address
3409 W 12600 S STE 100, RIVERTON, UT 84065-7266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9403105-992
UT
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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