Individual
DR. HARLAND G LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1631 WETZEL AVENUE, BLDG 815, US ARMY DENTAL ACTIVITY, FORT CARSON, CO 80913
(719) 526-5537
(719) 526-5551
Mailing address
1631 WETZEL AVENUE, BLDG 815, US ARMY DENTAL ACTIVITY, FORT CARSON, CO 80913
(719) 526-5537
(719) 526-5551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
18549
TX
1223G0001X
General Practice Dentistry
6047
FL
1223G0001X
General Practice Dentistry
DN008052
GA
1223G0001X
General Practice Dentistry
Primary
DN6047
FL
Other
Enumeration date
10/27/2006
Last updated
04/23/2012
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