Organization
PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A LEVINE DDS,PC (OWNER)
(215) 677-8686
Entity
Organization
Contact information
Practice address
9880 BUSTLETON AVE, #211-212, PHILADELPHIA, PA 19115-2185
(215) 677-8686
(215) 677-7212
Mailing address
9880 BUSTLETON AVE, #211-212, PHILADELPHIA, PA 19115-2185
(215) 677-8686
(215) 677-7212
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS022257L
PA
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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