Individual
DR. RANDALL DAVID LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 W. CLINTON ST., SUITE A, DURAND, MI 48473
(989) 288-6165
(989) 288-2030
Mailing address
103 W. CLINTON ST., DURAND, MI 48473
(989) 288-6165
(989) 288-2030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015088
MI
Other
Enumeration date
08/25/2006
Last updated
04/06/2011
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