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Individual

DR. RONALD S LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
294 ROUTE 201, FAIRFIELD, ME 04937-3401
(207) 453-2600
Mailing address
PO BOX 144, SHAWMUT, ME 04975-0144
(207) 453-2600

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2166
ME

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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