Individual
ALEXANDER LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
777 SOUTH NEW BALLAS RD, SUITE 333W, SAINT LOUIS, MO 63141-8748
(314) 567-9380
(314) 567-6858
Mailing address
777 SOUTH NEW BALLAS RD, SUITE 333W, SAINT LOUIS, MO 63141-8748
(314) 567-9380
(314) 567-6858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE015774
MO
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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