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Organization

LEVIE FAMILY DENTISTRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE COOPER (OFFICE MANAGER)
(706) 638-2784
Entity
Organization

Contact information

Practice address
201 E VILLANOW ST, LA FAYETTE, GA 30728-2594
(706) 638-2784
Mailing address
PO BOX 1725, LA FAYETTE, GA 30728-1725

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/22/2023
Last updated
02/22/2023
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