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Shad J. Lewis, Dmd Ma Llc
Dental Clinic/Center in Reading, Pennsylvania
NPI 1699391896

Shad J. Lewis, Dmd Ma Llc is a Dental Clinic/Center based in Reading, PA and is specialized in Dental. Shad J. Lewis, Dmd Ma Llc practices in Reading, PA. The NPI Number for Shad J. Lewis, Dmd Ma Llc is 1699391896 and holds a License No. (Pennsylvania).

The current practice location address for Shad J. Lewis, Dmd Ma Llc is 2211 Quarry Dr, Reading, PA and can be reached out via phone at 610-678-5700.

Location: 2211 Quarry Dr, Reading, PA, 19609-1161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699391896
Provider Name
Shad J. Lewis, Dmd Ma Llc
Credential
Provider Entity Type
Organization
Address
2211 Quarry Dr, Reading, PA, 19609-1161
Phone Number
610-678-5700
Fax Number
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0019646560003 05 PA
institution
Provider Business Practice Location Address Details
Address
2211 Quarry Dr
City
Reading
State
Pennsylvania
Zip
19609-1161
Phone Number
610-678-5700
Fax Number
person
Provider Business Mailing Address Details
Address
2211 Quarry Dr
City
Reading
State
Pennsylvania
Zip
19609-1161
Phone Number
610-678-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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