Individual
DR. JACK LEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
185 CEDAR LN, SUITE L7, TEANECK, NJ 07666-4316
(201) 385-5400
(201) 969-1144
Mailing address
PO BOX 2077, 185 CEDAR LANE, TEANECK, NJ 07666-1477
(201) 385-5400
(201) 969-1144
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
026499
NY
1223E0200X
Endodontics
Primary
8340
NJ
Other
Enumeration date
10/07/2006
Last updated
08/08/2012
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