Organization
PAUL I LEW DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ILSUN LEW DDS (PRESIDENT)
(317) 253-8004
Entity
Organization
Contact information
Practice address
6314 NORTH RUCKER ROAD, SUITE B, INDIANAPOLIS, IN 46220-4895
(317) 253-8004
(317) 253-3861
Mailing address
6314 NORTH RUCKER ROAD, SUITE B, INDIANAPOLIS, IN 46220-4895
(317) 253-8004
(317) 253-3861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006255A
IN
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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