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1164819140
TIMOTHY LEWIS
MELBOURNE, FL
NPI
1164819140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN-0009267)
Enumeration Date
2015-04-17
Last Update Date
2015-04-17
Business Address
Dr. TIMOTHY LEWIS D.M.D
205 W NEW HAVEN AVE
MELBOURNE, FL 32901-4300
Phone number: 321-723-1772
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Mailing Address
Dr. TIMOTHY LEWIS D.M.D
205 W NEW HAVEN AVE
MELBOURNE, FL 32901-4300
Phone number: 321-723-1772
Copy
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