Individual
EZRO LEVIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
665 CLINTON AVE, BRIDGEPORT, CT 06605-1711
(203) 336-5321
(203) 336-5327
Mailing address
665 CLINTON AVE, BRIDGEPORT, CT 06605-1711
(203) 336-5321
(203) 336-5327
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009059
CT
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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