NPI | 1568734622 |
---|---|
Former Legal Business Name | EARNEST L. LEWIS,DDS |
Entity Type | Organization |
Authorized Contact | EARNEST LEE LEWIS Doctor 918-893-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OK 4256) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2012-02-06 |