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Organization
SHARI T. LEAVITT, DMD, PC
Active
Organization
SHARI T. LEAVITT, DMD, PC
Active
Other names
University Square Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARI TARA LEAVITT DMD (DENTIST/PRESIDENT)
(215) 662-1030
Entity
Organization
Contact information
Practice address
3901 MARKET ST, BOX 1936, PHILADELPHIA, PA 19104-3133
(215) 662-1030
(215) 662-1015
Mailing address
3901 MARKET ST, BOX 1936, PHILADELPHIA, PA 19104-3133
(215) 662-1030
(215) 662-1015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-025799-L
PA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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