Individual
DR. SHELLY LEVIN-RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
21301 POWERLINE RD STE 208, BOCA RATON, FL 33433-2390
(561) 482-8000
Mailing address
10955 WINDWARD ST, CORAL SPRINGS, FL 33076-2987
(561) 899-6578
(561) 412-3822
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN21753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100364300
—
FL
Enumeration date
04/01/2013
Last updated
02/14/2023
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