KENNETH DWAYNE LEWIS

ODESSA, TX
NPI1871505529
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  15924)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
Dr. KENNETH DWAYNE LEWIS DDS
1149 E 42ND ST
ODESSA, TX 79762-7723
Phone number: 432-362-7927
Mailing Address
Dr. KENNETH DWAYNE LEWIS DDS
1149 E 42ND ST
ODESSA, TX 79762-7723
Phone number: 432-362-7927
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