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Individual

DR. BRENT SCOTT LEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
12062 VALLEY VIEW ST, SUITE 250, GARDEN GROVE, CA 92845-1737
(714) 893-8571
(714) 897-4799
Mailing address
12062 VALLEY VIEW ST, STE 250, GARDEN GROVE, CA 92845-1770
(714) 893-8571
(714) 897-4799

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035420
CA

Other

Enumeration date
05/04/2007
Last updated
05/16/2016
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