Individual
PAUL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 N MAIN ST STE 1420, WICHITA, KS 67202-4814
(316) 265-0849
Mailing address
301 N MAIN ST STE 1420, WICHITA, KS 67202-4814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61597
KS
122300000X
Dentist
DRPM2205
FL
Other
Enumeration date
06/15/2020
Last updated
07/07/2020
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