Organization
SAM W. LEVINE, D.D.S., M.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM LEVINE (PRESIDENT)
(781) 860-9473
Entity
Organization
Contact information
Practice address
18 MUZZEY ST, LEXINGTON, MA 02421-5224
(781) 860-9473
Mailing address
18 MUZZEY ST, LEXINGTON, MA 02421-5224
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21310
MA
Other
Enumeration date
05/04/2007
Last updated
05/09/2013
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