Individual
DR. KENNETH BOYD LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4140 RAMSEY ST STE 104, FAYETTEVILLE, NC 28311-7658
(910) 488-0518
Mailing address
4140 RAMSEY ST STE 104, FAYETTEVILLE, NC 28311-7658
(910) 488-0518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10684
NC
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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