Individual
DR. TIFFANY RAMONA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
BLDG 38717 38TH STREET, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
BLDG 38717 38TH STREET, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013897
GA
Other
Enumeration date
07/09/2009
Last updated
05/16/2013
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