SCOTT RICHARD LEWIS

REXBURG, ID
NPI1790793875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D3462)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
Dr. SCOTT RICHARD LEWIS DDS
300 N 2ND E
REXBURG, ID 83440-1604
Phone number: 208-356-9459
Mailing Address
Dr. SCOTT RICHARD LEWIS DDS
300 N 2ND E
REXBURG, ID 83440-1604
Phone number: 208-356-9459