JOSHUA LEWIS

REXBURG, ID
NPI1679098008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  5167)
Additional Taxonomies122300000X Dentist
(Licence: MO  2017028241)
Enumeration Date2017-08-07
Last Update Date2022-02-14
Business Address
JOSHUA LEWIS
242 E MAIN ST
REXBURG, ID 83440-2022
Phone number: 208-932-4250
Mailing Address
JOSHUA LEWIS
242 E MAIN ST
REXBURG, ID 83440-2022
Phone number: 208-932-4250
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