M LEWIS GRUBBS

JACKSON, MS
NPI1366524548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  201483)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
-- M LEWIS GRUBBS D.M.D.
1771 LELIA DR
JACKSON, MS 39216-4820
Phone number: 601-362-2660
Mailing Address
-- M LEWIS GRUBBS D.M.D.
1771 LELIA DR
JACKSON, MS 39216-4820
Phone number: 601-362-2660
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