Individual
DR. MICHAEL LEVORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
326 E 1ST SOUTH ST, CARLINVILLE, IL 62626-1805
(217) 854-0014
Mailing address
326 E 1ST SOUTH ST, CARLINVILLE, IL 62626-1805
(217) 854-0014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030287
IL
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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