Individual
DR. JED ERIC LEVITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
251 POST OFFICE DR, #A1, INDIAN TRAIL, NC 28079-7685
(704) 821-3019
(704) 821-0113
Mailing address
1101 HULSTON CT, CHARLOTTE, NC 28211-5102
(704) 770-0986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7302
NC
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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