Organization
BRAD LEWIS, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD LEWIS D.M.D. (PRESIDENT)
(305) 944-4373
Entity
Organization
Contact information
Practice address
1400 NE MIAMI GARDENS DR, STE 201, NORTH MIAMI BEACH, FL 33179-4845
(305) 944-4373
Mailing address
1400 NE MIAMI GARDENS DR, STE 201, NORTH MIAMI BEACH, FL 33179-4845
(305) 944-4373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10097
FL
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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