Individual
DR. SCOTT JAMES LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5800 BAYSHORE DR., SUITE B248, GLENDALE, WI 53217-4536
(414) 962-7110
(414) 962-7135
Mailing address
5800 BAYSHORE DR., SUITE B248, MILWAUKEE, WI 53217-4536
(414) 962-7110
(414) 962-7135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2718
WI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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