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Individual

GARY MERL LEVERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
518 WEST MADISON ST, PONTIAC, IL 61764
(815) 844-5993
(815) 844-4243
Mailing address
1725 SOUTH OAK ST, PONTIAC, IL 61764
(815) 844-3927

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19014346
IL

Other

Enumeration date
09/16/2006
Last updated
07/08/2007
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