Individual
EMILY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 JACKSON RD STE E, MEDFORD, NJ 08055-9234
(609) 953-4300
Mailing address
133 JACKSON RD STE E, MEDFORD, NJ 08055-9234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DL03111300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2024
Last updated
08/12/2025
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