Individual
IRA S LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1502 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160-1767
(740) 335-8877
Mailing address
147 PINCKNEY ST, CIRCLEVILLE, OH 43113-1627
(740) 474-8558
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30018442
OH
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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