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Individual

DR. MARIANA P LEVY DEPOLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
2706 OBSERVATORY AVE, CINCINNATI, OH 45208-2108
(513) 533-4200
Mailing address
2706 OBSERVATORY AVE, CINCINNATI, OH 45208-2108
(513) 533-4200

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12013272A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30.023353
OH

Other

Enumeration date
10/30/2011
Last updated
02/10/2020
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