BLAKE R LEWIS

GOODFELLOW AFB, TX
NPI1396430468
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  41776)
Enumeration Date2023-04-05
Last Update Date2026-07-31
Business Address
BLAKE R LEWIS DDS
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908-4901
Phone number: 325-654-3149
Mailing Address
BLAKE R LEWIS DDS
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908-4901
Phone number: