Individual
JUSTINE M LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7690
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
24-197-DHAT
AK
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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