Ryan Lewis, Dmd, Pllc | |
1325 Hover St Ste 103 Longmont CO 80501-3137 | |
(270) 293-9194 | |
Not Available |
Full Name | Ryan Lewis, Dmd, Pllc |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 1325 Hover St Ste 103, Longmont, Colorado |
Authorized Official Name and Position | Ryan Charles Lewis (OWNER) |
Authorized Official Contact | 2702939194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ryan Lewis, Dmd, Pllc 1325 Hover St Ste 103 Longmont CO 80501-3137 Ph: (270) 293-9194 | Ryan Lewis, Dmd, Pllc 1325 Hover St Ste 103 Longmont CO 80501-3137 Ph: (270) 293-9194 |
NPI Number | 1124531975 |
---|---|
Provider Enumeration Date | 11/14/2017 |
Last Update Date | 11/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124531975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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