| NPI | 1699391896 |
|---|---|
| Doing Business As | SHAD J. LEWIS DMD |
| Entity Type | Organization |
| Authorized Contact | SHAD JOHN LEWIS Owner/Dentist 610-678-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |