Tiffany Ramona Lewis, D.M.D Valid NPI
Individual provider · Dentist · Ft Gordon, GA
- NPI
- 1831328061
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DN013897 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-07-09
- Last updated
- 2013-05-16
Practice location
Bldg 38717 38th Street, Usa Dentac
Ft Gordon, GA 30905-5660
(706) 787-6927