Organization
PARAMUS PARK MALL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR LEVIN DDS (DENTIST)
(516) 798-3444
Entity
Organization
Contact information
Practice address
700 PARAMUS PARK, SUITE 1615, PARAMUS, NJ 07652-3557
(201) 261-3444
(201) 261-3445
Mailing address
700 PARAMUS PARK, SUITE 1615, PARAMUS, NJ 07652-3557
(201) 261-3444
(201) 261-3445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI 02242900
NJ
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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