Individual
DR. DAVIS MICHAEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
(580) 286-1172
Mailing address
1840 30TH ST NE, PARIS, TX 75462-2802
(903) 784-5103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3922
LA
Other
Enumeration date
02/07/2006
Last updated
06/29/2011
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