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Organization

ALLISON LEVANS, DMD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON LEVANS DMD (OWNER/DENTIST)
(620) 257-5104
Entity
Organization

Contact information

Practice address
109 W MAIN ST, LYONS, KS 67554-1927
(620) 257-5104
Mailing address
109 W MAIN ST, LYONS, KS 67554-1927
(620) 257-5104

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
3559
KS
122300000X
Dentist
Primary
60590
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100334960A
KS
01
1215998018
NPI
01
1649461906
NPI
Enumeration date
04/20/2010
Last updated
05/27/2010
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