Individual
DR. MARK ALAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6443 W 10TH ST, SUITE 204, INDIANAPOLIS, IN 46214-6501
(317) 247-9512
(317) 484-6393
Mailing address
6443 W 10TH ST, SUITE 204, INDIANAPOLIS, IN 46214-6501
(317) 247-9512
(317) 484-6393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008006A
IN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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