Organization
MULLICA HILL FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOGDAN LEVITSKY DMD (OWNER/DENTIST)
(856) 214-3769
Entity
Organization
Contact information
Practice address
7 MYERS DRIVE UNIT A, MULLICA HILL, NJ 08062
(856) 214-3769
Mailing address
7 MYERS DRIVE, MULLICA HILL, NJ 08062-2868
(856) 214-3769
(856) 214-3834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02448700
NJ
Other
Enumeration date
02/26/2018
Last updated
08/01/2019
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