Individual
DR. CHARLES LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
244 WILLOW ST, YARMOUTH PORT, MA 02675-1757
(508) 375-9090
(508) 375-3323
Mailing address
244 WILLOW ST, YARMOUTH PORT, MA 02675-1757
(508) 375-9090
(508) 375-3323
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11823
MA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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