Individual
DR. JOHN S LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
921 STATE ST, NEW HAVEN, CT 06511-3926
(203) 865-2245
(203) 787-1228
Mailing address
921 STATE ST, NEW HAVEN, CT 06511-3926
(203) 865-2245
(203) 787-1228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5038
CT
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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