Organization
LEVO DENTAL PLLC
Active
Other names
Smile Haus
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN ANH LEVO DDS (DENTIST)
(703) 678-1493
Entity
Organization
Contact information
Practice address
113 E UNIVERSITY AVE, GEORGETOWN, TX 78626-6828
(703) 678-1493
Mailing address
14392 BROADWINGED DR, GAINESVILLE, VA 20155-5928
(703) 678-1493
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407408354
NPPE
TX
01
—
1811346042
NPPES
TX
Enumeration date
07/11/2019
Last updated
07/11/2019
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