Individual
DR. ANDRE LEON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1882 59TH ST W, BRADENTON, FL 34209-4630
(941) 792-9392
Mailing address
1882 59TH ST W, BRADENTON, FL 34209-4630
(941) 792-9392
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411952
VA
1223P0221X
Pediatric Dentistry
Primary
DN19366
FL
Other
Enumeration date
08/24/2007
Last updated
11/04/2015
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