Organization
KELSI LEWIS DDS PLLC
Active
Other names
Glow Dental Co.
Organization subpart
No
Provider details
NPI number
Authorized official
KELSI LEWIS (DDS)
(409) 771-1166
Entity
Organization
Contact information
Practice address
7717 SOUTHWEST PKWY # 250, AUSTIN, TX 78735-8994
(409) 771-1166
Mailing address
7717 SOUTHWEST PKWY STE 150, AUSTIN, TX 78735-9007
(512) 572-4842
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
10/24/2025
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