Organization
DAVID G. LEBOWITZ D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G. LEBOWITZ D.M.D. (PRESIDENT)
(480) 998-7775
Entity
Organization
Contact information
Practice address
10555 N TATUM BLVD, A104, PARADISE VALLEY, AZ 85253-1096
(480) 998-7775
Mailing address
10555 N TATUM BLVD, A104, PARADISE VALLEY, AZ 85253-1096
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2517
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2517
DENTAL LICENSE
AZ
Enumeration date
06/19/2006
Last updated
08/22/2020
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