Individual
DR. LEVI R EVALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
209 N CENTER ST, CORRY, PA 16407-1626
(814) 664-2012
(814) 664-2012
Mailing address
209 N CENTER ST, CORRY, PA 16407-1626
(814) 664-2012
(814) 664-2012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
030493432
PA
Other
Enumeration date
02/01/2008
Last updated
12/03/2015
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