Individual
LOIS BETH LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3366 PARK AVE, WANTAGH, NY 11793-3718
(516) 826-4949
(516) 826-2707
Mailing address
3366 PARK AVE, WANTAGH, NY 11793-3718
(516) 826-4949
(516) 826-2707
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
039318
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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