Organization
CHAD S LEWISON, DDS,PC
Active
Other names
Dental Implant Group
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JO LEMS (CDA)
(605) 764-3179
Entity
Organization
Contact information
Practice address
1110 W 5TH ST, CANTON, SD 57013-1543
(605) 764-3179
(605) 764-3181
Mailing address
1110 W 5TH ST, CANTON, SD 57013-1543
(605) 764-3179
(605) 764-3181
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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