Provider Demographics
NPI:1063073237
Name:DAWKINS LEWIS, FELICIA ROXANA (RDAEF)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:ROXANA
Last Name:DAWKINS LEWIS
Suffix:
Gender:F
Credentials:RDAEF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5198 ARLINGTON AVE # 622
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-2603
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2440 RIVER RD STE 140
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2402
Practice Address - Country:US
Practice Address - Phone:714-317-9881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAEF772126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant