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1386029833
MICHAEL J LEWIS
JACKSONVILLE, FL
NPI
1386029833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: HI DT2604)
Enumeration Date
2015-07-27
Last Update Date
2015-07-27
Business Address
-- MICHAEL J LEWIS DDS
BUREAU OF MEDICINE AND SURGERY CREDENTIALS 554 KEILY ST.
JACKSONVILLE, FL 32214-5000
Phone number: 757-953-7011
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Mailing Address
-- MICHAEL J LEWIS DDS
BUREAU OF MEDICINE AND SURGERY CREDENTIALS 554 KEILY ST.
JACKSONVILLE, FL 32214-5000
Phone number: 757-953-7011
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