| NPI | 1336317692 |
|---|---|
| Doing Business As | LEWIS FAMILY DENTISTRY |
| Former Legal Business Name | KENNETH B. LEWIS, DDS, P.A. |
| Entity Type | Organization |
| Authorized Contact | KENNETH BOYD LEWIS Dentist 910-488-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 5029) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2022-07-19 |