| NPI | 1588287460 |
|---|---|
| Former Legal Business Name | LEWIS DENTAL SERVICES INC |
| Entity Type | Organization |
| Authorized Contact | LEONARD LEWIS Owner/Dentist 225-927-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |