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Organization

JOEL M. LEVIN, D.D.S. AND JOHN L. HOUGHTALING, D.D.S.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL M LEVIN DDS (PRESIDENT)
(716) 885-0510
Entity
Organization

Contact information

Practice address
897 DELAWARE AVE, SUITE 200, BUFFALO, NY 14209-2007
(716) 885-0510
(716) 885-8092
Mailing address
897 DELAWARE AVE, SUITE 200, BUFFALO, NY 14209-2007
(716) 885-0510
(716) 885-8092

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
026237
NY
1223P0221X
Pediatric Dentistry
029731
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00628428
NY
Enumeration date
05/03/2007
Last updated
08/24/2016
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