RANDOLPH LEWIS LAKE

RENTON, WA
NPI1528134509
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WA  DE00005282)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
DR. RANDOLPH LEWIS LAKE DDS
3200 NE SUNSET BLVD
RENTON, WA 98056-3335
Phone number: 425-228-2555
Mailing Address
DR. RANDOLPH LEWIS LAKE DDS
3200 NE SUNSET BLVD
RENTON, WA 98056-3335
Phone number: 425-228-2555
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