Organization
RUSSELL G. LEWIS DDS PC
Active
Other names
Sandy Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL G. LEWIS D.D.S. (OWNER)
(801) 572-0942
Entity
Organization
Contact information
Practice address
1434 E 9400 S, #201, SANDY, UT 84093-2957
(801) 572-0942
Mailing address
1434 E 9400 S, #201, SANDY, UT 84093-2957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
294428-9922
UT
Other
Enumeration date
11/01/2006
Last updated
06/24/2008
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