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Individual

DR. D GRANT LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7270 FORESTVIEW LN N STE 250, MAPLE GROVE, MN 55369-5605
(763) 424-9202
Mailing address
866 TRENTON LN N, PLYMOUTH, MN 55441-4497
(412) 877-2288

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14897
MN

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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