Organization
LEWIS COSMETIC & FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HANLEY LEWIS DDS (MEMBER DENTIST)
(718) 326-1212
Entity
Organization
Contact information
Practice address
6711 75 STREET, MIDDLE VILLAGE, NY 11379-2630
(718) 326-1212
(718) 894-6132
Mailing address
6711 75 STREET, MIDDLE VILLAGE, NY 11379-2630
(718) 326-1212
(718) 894-6132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
024547
NY
122300000X
Dentist
Primary
045565
NY
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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