Individual
DR. MARTY A. LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
530 N DIERS AVE, GRAND ISLAND, NE 68803-4964
(308) 381-8150
(308) 381-1183
Mailing address
PO BOX 5821, GRAND ISLAND, NE 68802-5821
(308) 381-8150
(308) 381-1183
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5664
NE
Other
Enumeration date
06/15/2005
Last updated
07/08/2007
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