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1215146105
LARRY SCOTT LEWIS
MODESTO, CA
NPI
1215146105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 24037)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Dr. LARRY SCOTT LEWIS DDS
3609 COFFEE RD STE 3
MODESTO, CA 95355-1100
Phone number: 209-526-1190
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Mailing Address
Dr. LARRY SCOTT LEWIS DDS
3609 COFFEE RD STE 3
MODESTO, CA 95355-1100
Phone number: 209-526-1190
Copy
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