Organization
LEWIS PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LEWIS D.M.D. (MEMBER)
(610) 420-4948
Entity
Organization
Contact information
Practice address
365 AVIATION RD, QUEENSBURY, NY 12804-2915
(610) 420-4948
Mailing address
8 ERINN CT, WILTON, NY 12831-2520
(610) 420-4948
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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