Individual
DR. JORDAN M LEWART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
450 WESTERN HWY, SUITE B, ORANGEBURG, NY 10962-2121
(845) 359-5588
Mailing address
450 WESTERN HWY, ORANGEBURG, NY 10962-2121
(845) 359-5588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042833-1
NY
Other
Enumeration date
01/03/2006
Last updated
07/08/2007
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