Organization
CRESTED OAK DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M LEWIS DDS (DENTIST/OWNER)
(970) 241-4800
Entity
Organization
Contact information
Practice address
2532 PATTERSON RD, SUITE 1, GRAND JUNCTION, CO 81505-3604
(970) 241-4800
(970) 241-8266
Mailing address
2532 PATTERSON RD, SUITE 1, GRAND JUNCTION, CO 81505-3604
(970) 241-4800
(970) 241-8266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10481
CO
Other
Enumeration date
07/30/2013
Last updated
07/27/2015
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