Organization
SBL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA JANE LEWIS DMD (MEMBER)
(214) 366-4646
Entity
Organization
Contact information
Practice address
4347 W NORTHWEST HWY STE 128, DALLAS, TX 75220-3866
(214) 366-4646
Mailing address
4347 W NORTHWEST HWY STE 128, DALLAS, TX 75220-3866
(214) 366-4646
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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