Individual
DR. JONATHAN W. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9103 S 1300 W STE 104, WEST JORDAN, UT 84088-6708
(801) 255-8030
(801) 255-8060
Mailing address
9103 S 1300 W STE 104, WEST JORDAN, UT 84088-6708
(801) 255-8030
(801) 255-8060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6252709-9922
UT
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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