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Organization
R.E. LEVI DENTAL CORPORATION
Active
Organization
R.E. LEVI DENTAL CORPORATION
Active
Other names
DBA Lake Elsinore Dental Gp
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROYA E LEVI DDS (OWNER)
(951) 677-7779
Entity
Organization
Contact information
Practice address
32235 MISSION TRAIL # 8, LAKE ELSINORE, CA 92530
(951) 674-6808
(951) 674-2668
Mailing address
32235 MISSION # 8, LAKE ELSINORE, CA 92530
(951) 674-6808
(951) 674-2668
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29257
CA
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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