Individual
DR. MARK ELLIOT LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8683 E LINCOLN AVE STE 130, LONE TREE, CO 80124-9812
(303) 484-1246
Mailing address
8683 E LINCOLN AVE STE 130, LONE TREE, CO 80124-9812
(303) 484-1246
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
104138
CO
1223E0200X
Endodontics
DEN.00104138
CO
Other
Enumeration date
08/04/2005
Last updated
04/10/2018
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