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Individual

DR. NATHAN C. LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9730 S 700 E, SUITE 204, SANDY, UT 84070-3511
(801) 572-3211
Mailing address
9730 S 700 E, SUITE 204, SANDY, UT 84070-3511
(801) 572-3211

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3486269922
UT

Other

Enumeration date
11/22/2006
Last updated
07/08/2007
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