Individual
DR. KYLIE LANE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3195 TRAMMEL RD STE 400, CUMMING, GA 30041-1335
(678) 879-3006
Mailing address
3743 TREBOURNE SQ SE, SMYRNA, GA 30080-4903
(901) 831-2696
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015454
GA
Other
Enumeration date
10/22/2008
Last updated
11/30/2021
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