Individual
DR. IRIS L LEWIS-MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
321 W GIRARD AVE, PHILADELPHIA, PA 19123-1531
(215) 848-6446
(215) 848-7202
Mailing address
10 E SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-2235
(215) 848-6446
(215) 848-7202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024507L
PA
Other
Enumeration date
07/24/2007
Last updated
01/14/2014
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