Organization
JEAN A. LEWIS DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN A. LEWIS DMD (PRESIDENT)
(520) 490-5743
Entity
Organization
Contact information
Practice address
1245 SE 3RD ST STE A1, BEND, OR 97702-2162
(520) 490-5743
Mailing address
1245 SE 3RD ST STE A1, BEND, OR 97702-2162
(520) 490-5743
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9804
OR
Other
Enumeration date
05/15/2009
Last updated
01/22/2013
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