Individual
DR. JACOB LEVINE-SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5415 W CEDAR LN, SUITE 108-B, BETHESDA, MD 20814-1515
(301) 530-4502
Mailing address
101 W READ ST, APT. 303, BALTIMORE, MD 21201-4912
(301) 461-2555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15955
MD
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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