Individual
MARA L LEVESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
601 EWING ST, SUITE A-10, PRINCETON, NJ 08540-2757
(609) 497-1188
Mailing address
26 BLUE HERON WAY, SKILLMAN, NJ 08558-2248
(609) 333-1340
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DI19783
NJ
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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