NPI | 1528310331 |
---|---|
Former Legal Business Name | LEWIS & MILLS DDS PA |
Entity Type | Organization |
Authorized Contact | JOHN M LEWIS President 316-265-0849 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: KS 6445) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2012-10-04 |