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1306127915
MARK P LEWIS
REDDING, CA
NPI
1306127915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 60276)
Enumeration Date
2011-09-09
Last Update Date
2020-10-05
Business Address
MARK P LEWIS DDS
3855 CHURN CREEK RD
REDDING, CA 96002-3229
Phone number: 530-243-9425
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Mailing Address
MARK P LEWIS DDS
224 WEST D. L. INGRAM AVENUE
CANNON AFB, NM 88103-5522
Phone number:
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