Organization
LEWIS DENTAL SERVICES
Active
Other names
MOUNTAIN WEST DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA LEWIS DDS (OWNER)
(208) 270-0301
Entity
Organization
Contact information
Practice address
675 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(208) 270-0301
Mailing address
3702 E 319 N, RIGBY, ID 83442-5450
(208) 270-0301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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