Organization
GREGORY LEWIS, DDS, PLLC
Active
Other names
Colvin Avenue Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LEWIS DDS (MEMBER)
(614) 563-0271
Entity
Organization
Contact information
Practice address
29 COLVIN AVE, ALBANY, NY 12206-1202
(518) 459-7993
Mailing address
65 HASGATE DR, DELMAR, NY 12054-6709
(614) 563-0271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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