Individual
DR. GARRY L. LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
807 5TH ST, MOUNDSVILLE, WV 26041-1907
(304) 845-5651
(304) 845-5707
Mailing address
807 5TH ST, MOUNDSVILLE, WV 26041-1907
(304) 845-5651
(304) 845-5707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2368
WV
Other
Enumeration date
06/14/2006
Last updated
07/09/2007
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