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Individual

TIA LANEZ JEFFERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2795 LEE RD, LITHIA SPRINGS, GA 30122-3358
(978) 513-7488
Mailing address
2795 LEE RD, LITHIA SPRINGS, GA 30122-3358
(269) 445-3874
(269) 445-2076

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901016666
MI
122300000X
Dentist
Primary
DN123918
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568581866
MI
Enumeration date
03/28/2007
Last updated
03/20/2026
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