Individual
DR. MICHAEL J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
870 PALISADE AVE, SUITE #303, TEANECK, NJ 07666-3419
(201) 836-8000
(201) 591-7981
Mailing address
870 PALISADE AVE, SUITE #303, TEANECK, NJ 07666-3419
(201) 836-8000
(201) 591-7981
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
052344-1
NY
1223E0200X
Endodontics
Primary
22DI02309100
NJ
Other
Enumeration date
06/09/2008
Last updated
03/02/2010
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