Individual
DR. ALAN SAMUEL LEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD DMD
Contact information
Practice address
11709 OLD BALLAS, STE 100, ST LOUIS, MO 63141-7029
(314) 432-0960
(314) 432-0972
Mailing address
11709 OLD BALLAS, STE 100, ST LOUIS, MO 63141-7029
(314) 432-0960
(314) 432-0972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13562
MO
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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