Lewis, Mary

Lewis, Mary is an sole proprietor health care provider with primary practice located at 3160 Montana Dr , Prescott AZ 86301-4627. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Lewis, Mary can be contacted via phone (928) 899-3851.

Contact Information

Primary practice address
3160 Montana Dr Prescott AZ 86301-4627
Phone: (928) 899-3851
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H 4200 Arizona

Profile Details

NPI number 1821349374
LBN Legal business name Lewis, Mary
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2012
Last updated Sep 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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