Organization
PERSONALIZED DENTISTRY
Active
Other names
Lewis, Rochlen & Rochlen
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD LEWIS DDS (PRESIDENT)
(586) 751-2900
Entity
Organization
Contact information
Practice address
30825 RYAN RD, WARREN, MI 48092-1903
(586) 751-2900
(586) 751-5224
Mailing address
30825 RYAN RD, WARREN, MI 48092-1903
(586) 751-2900
(586) 751-5224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8373
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4017310
—
MI
Enumeration date
03/15/2007
Last updated
08/22/2020
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