LEWIS FAMILY DENTISTRY, LLC

LOGANSPORT, IN
NPI1487106282
Entity TypeOrganization
Authorized ContactJAY LEWIS
Sole Member
574-722-3107
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IN  12008646)
Enumeration Date2016-10-27
Last Update Date2016-10-27
Business Address
LEWIS FAMILY DENTISTRY, LLC
2401 E BROADWAY
LOGANSPORT, IN 46947-2056
Phone number: 574-722-3107
Mailing Address
LEWIS FAMILY DENTISTRY, LLC
2401 E BROADWAY
LOGANSPORT, IN 46947-2056
Phone number: 574-722-3107