Individual
DR. RUSTIN MARSHALL LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1145 19TH ST NW, SUITE 510, WASHINGTON, DC 20036-3701
(202) 524-4863
(202) 524-4864
Mailing address
1145 19TH ST NW, SUITE 510, WASHINGTON, DC 20036-3701
(202) 524-4863
(202) 524-4864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12727
MD
122300000X
Dentist
Primary
DEN6003
DC
Other
Enumeration date
07/24/2006
Last updated
07/23/2013
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