Individual
DR. JANE WELLESLEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
407 E MAPLE ST STE 109, CUMMING, GA 30040-2616
(770) 343-4389
Mailing address
1615 RIDGE HAVEN RUN, ALPHARETTA, GA 30022-4485
(678) 644-0493
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013952
GA
Other
Enumeration date
08/11/2009
Last updated
01/22/2021
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