Individual
DR. FRED JACK LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
131 FOXSHIRE DR, LANCASTER, PA 17601-3983
(717) 569-6487
(717) 581-5487
Mailing address
131 FOXSHIRE DR, LANCASTER, PA 17601-3983
(717) 569-6487
(717) 581-5487
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS17799L
PA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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