Individual
ELODIE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2726 E HIGHWAY 190, SUITE 112, COPPERAS COVE, TX 76522-2522
(254) 542-3500
(254) 542-4013
Mailing address
2726 E HIGHWAY 190, SUITE 112, COPPERAS COVE, TX 76522-2522
(254) 542-3500
(254) 542-4013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28314
TX
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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