Lewis, Timothy Dallas

Lewis, Timothy Dallas is an sole proprietor health care provider with primary practice located at 10938 Plum View Ln , Yucaipa CA 92399-9310. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lewis, Timothy Dallas can be contacted via phone (909) 844-2327.

Contact Information

Primary practice address
10938 Plum View Ln Yucaipa CA 92399-9310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 56330 California

Profile Details

NPI number 1679769012
LBN Legal business name Lewis, Timothy Dallas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2007
Last updated Apr 26th, 2011 - about 14 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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