Individual
DR. RANDY THOMAS LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2018-D NEW GARDEN RD, SUITE D, GREENSBORO, NC 27410
(336) 540-0026
(336) 540-0036
Mailing address
2018-D NEW GARDEN RD, SUITE D, GREENSBORO, NC 27410
(336) 540-0026
(336) 540-0036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4368
NC
Other
Enumeration date
06/27/2006
Last updated
05/20/2015
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