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Organization

DR. ANDREW B. LEVY, DDS, P.C.

Active
Parent organization
VILLAGE DENTAL (DBA)
Other names
Village Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
VILLAGE DENTAL (DBA)
Authorized official
MR. ANDREW BRYAN LEVY D.D.S. (OWNER/DENTIST)
(212) 674-2024
Entity
Organization

Contact information

Practice address
77 E. 12TH ST, PS1, NEW YORK, NY 10003
(212) 674-2024
Mailing address
77 E. 12TH ST, PS1, NEW YORK, NY 10003
(212) 674-2024
(212) 674-2023

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056210
NY

Other

Enumeration date
12/10/2014
Last updated
12/10/2014
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