Justine M Lewis Valid NPI
Individual provider · Dental Therapist · Wasilla, AK
- NPI
- 1760277073
- Type
- Individual (Type 1)
- Primary specialty
- Dental Therapist
- Specialty group
- Dental Providers
- Taxonomy code
- 125J00000X
- License number
- 24-197-DHAT (AK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2025-04-09
- Last updated
- 2025-04-09
Practice location
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
(907) 631-7690