Individual
DOUGLAS S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-0300
(707) 462-1773
Mailing address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-0300
(707) 462-1773
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36788
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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