| Raymond C. Lyew D.d.s., P.c. | |
|
3060 River Dr Lawrenceville GA 30044-5526 | |
| (678) 344-5511 | |
| (678) 344-5577 |
| Full Name | Raymond C. Lyew D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3060 River Dr, Lawrenceville, Georgia |
| Authorized Official Name and Position | Raymond C. Lyew (DENTIST - CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6783445511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond C. Lyew D.d.s., P.c. 3060 River Dr Lawrenceville GA 30044-5526 Ph: (678) 344-5511 | Raymond C. Lyew D.d.s., P.c. 3060 River Dr Lawrenceville GA 30044-5526 Ph: (678) 344-5511 |
| NPI Number | 1831241744 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831241744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10955 (Georgia) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 10287 (Georgia) | Primary |
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