Organization
VITALY LEVINTOV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VITALY G LEVINTOV DMD (DENTIST)
(813) 407-2068
Entity
Organization
Contact information
Practice address
3140 SHADY LILY LN, LAND O LAKES, FL 34638-8018
(813) 407-2068
Mailing address
33160 US 19 N, PALM HARBOR, FL 34684-3127
(813) 563-0872
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22210
FL
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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