Organization
MARK P. LEWIS, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK P LEWIS DDS (PRESIDENT)
(530) 243-9425
Entity
Organization
Contact information
Practice address
3855 CHURN CREEK RD, REDDING, CA 96002-3229
(530) 243-9425
Mailing address
3855 CHURN CREEK RD, REDDING, CA 96002-3229
(530) 243-9425
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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