Individual
DR. DEREK M LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
26 WHALON ST, FITCHBURG, MA 01420-7138
(978) 435-6919
Mailing address
26 WHALON ST, FITCHBURG, MA 01420-7138
(978) 435-6919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
04054
NH
1223G0001X
General Practice Dentistry
Primary
DN1856656
MA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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