Organization
LEVISON DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH LEVISON (VP/SEC)
(503) 699-1809
Entity
Organization
Contact information
Practice address
9 MONROE PKWY, SUITE 130, LAKE OSWEGO, OR 97035-1495
(503) 699-1809
Mailing address
9 MONROE PKWY, SUITE 130, LAKE OSWEGO, OR 97035-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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