Individual
CARLA MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1319 NC 210, SNEADS FERRY, NC 28460
(910) 327-2248
Mailing address
226 DEER CREEK DR, JACKSONVILLE, NC 28546-9175
(910) 333-4299
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12074
NC
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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