Individual
DR. MICHAEL I. LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
59 E LEXINGTON AVE, PHOENIX, AZ 85012-2320
(602) 274-9242
Mailing address
59 E LEXINGTON AVE, PHOENIX, AZ 85012-2320
(602) 274-9242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00712
CO
122300000X
Dentist
Primary
2246
AZ
122300000X
Dentist
8098
MN
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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