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Individual
MICHAEL LEVINE
Active
Individual
MICHAEL LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
029302
NY
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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