Individual
JACOB ROBERT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 CASABLANCA DR, SAVANNAH, GA 31409-5107
(571) 801-7148
Mailing address
230 CASABLANCA DR, SAVANNAH, GA 31409-5107
(571) 801-7148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40185
TX
Other
Enumeration date
03/07/2023
Last updated
09/05/2024
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