| Paul I Lew Dds Inc | |
|
6314 North Rucker Road Suite B Indianapolis IN 46220-4895 | |
| (317) 253-8004 | |
| (317) 253-3861 |
| Full Name | Paul I Lew Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6314 North Rucker Road, Indianapolis, Indiana |
| Authorized Official Name and Position | Paul Ilsun Lew (PRESIDENT) |
| Authorized Official Contact | 3172538004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul I Lew Dds Inc 6314 North Rucker Road Suite B Indianapolis IN 46220-4895 Ph: (317) 253-8004 | Paul I Lew Dds Inc 6314 North Rucker Road Suite B Indianapolis IN 46220-4895 Ph: (317) 253-8004 |
| NPI Number | 1659467009 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659467009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12006255A (Indiana) | Primary |
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