Individual
DR. KENNETH ALLEN LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
606 FISHER STREET, BILOXI, MS 39534
(228) 376-2998
Mailing address
3634 PERRYMAN ROAD, OCEAN SPRINGS, MS 39564
(228) 875-7318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13941
MA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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