Organization
MINA LEVI, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA LEVI DDS (DENTIST/OWNER)
(415) 513-5066
Entity
Organization
Contact information
Practice address
450 SUTTER ST RM 808, SAN FRANCISCO, CA 94108-3910
(415) 513-5066
Mailing address
450 SUTTER ST RM 1422, SAN FRANCISCO, CA 94108-4003
(415) 513-5066
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57016
CA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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