Individual
DR. WENDELL ARDEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
3202 MCINTOSH CIRCLE DRIVE, LL03, JOPLIN, MO 64804
(417) 623-1894
(417) 623-0163
Mailing address
3202 MCINTOSH CIRCLE DRIVE, LL03, JOPLIN, MO 64804
(417) 623-1894
(417) 623-0163
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11753
MO
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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