Individual
MR. JONATHAN BROOKE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
103 E. MAIN ST., SILVERDALE, PA 18962
(215) 257-1100
Mailing address
115 SCHULTZ RD, SELLERSVILLE, PA 18960-2952
(215) 257-8206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0278182
PA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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