Organization
LEVI R EVALT DDS, PC
Active
Other names
Family & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI R EVALT DDS (DENTIST)
(814) 725-9000
Entity
Organization
Contact information
Practice address
13025 WEST MAIN RD, NORTH EAST, PA 16428-2857
(814) 725-9000
(814) 725-9100
Mailing address
13025 WEST MAIN RD, NORTH EAST, PA 16428-2857
(814) 725-9000
(814) 725-9100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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