Individual
RICHARD A. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
120 ELMORA AVE, ELIZABETH, NJ 07202-1625
(908) 352-1558
(908) 352-1337
Mailing address
120 ELMORA AVE, ELIZABETH, NJ 07202-1625
(908) 352-1558
(908) 352-1337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00866100
NJ
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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