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1306969514
LEW B. SAMPLE
DECATUR, AL
NPI
1306969514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AL 4668)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Dr. LEW B. SAMPLE DMD, MS, PC
2014 DANVILLE PARK DR SW
DECATUR, AL 35603-1832
Phone number: 256-355-5255
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Mailing Address
Dr. LEW B. SAMPLE DMD, MS, PC
2014 DANVILLE PARK DR SW
DECATUR, AL 35603-1832
Phone number: 256-355-5255
Copy
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