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NPI 1295886653

NPI 1295886653 : CHRIS LEWANDOWSKI, DDS, PC : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1295886653
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRIS LEWANDOWSKI, DDS, PC 
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Dates
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    Enumeration Date     |    01/14/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    8575 E PRINCESS DR SUITE 101
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-5483
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    Country              |    US
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    Telephone            |    480-563-5800
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    Fax                  |    480-563-4971
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Provider Business Mailing Address
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    Address Line         |    8575 E PRINCESS DR SUITE 101
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-5483
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    Country              |    US
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    Telephone            |    480-563-5800
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    Fax                  |    480-563-4971
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. CHRIS  LEWANDOWSKI 
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    Credential           |    D.D.S.
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    Telephone            |    480-563-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    D4979
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    License Number State |    AZ
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