Individual
DR. MARTHA L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
105 MAIN STREET E, UTICA, MS 39175
(601) 885-8537
(601) 885-8539
Mailing address
315 MORRISON DRIVE, CLINTON, MS 39058
(601) 925-5163
(601) 925-5184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2559-90
MS
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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