Individual
DR. LIRAN LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
188 LONGWOOD AVE, REB 305, BOSTON, MA 02115-5819
(617) 432-1359
Mailing address
188 LONGWOOD AVE, REB 305, BOSTON, MA 02115-5819
(617) 432-1359
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DF10846
MA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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