Levison Dental Group Pc | |
9 Monroe Pkwy Suite 130 Lake Oswego OR 97035-1495 | |
(503) 699-1809 | |
Not Available |
Full Name | Levison Dental Group Pc |
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Speciality | Dentist - General Practice |
Location | 9 Monroe Pkwy, Lake Oswego, Oregon |
Authorized Official Name and Position | Sarah Levison (VP/SEC) |
Authorized Official Contact | 5036991809 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Levison Dental Group Pc 9 Monroe Pkwy Suite 130 Lake Oswego OR 97035-1495 Ph: () - | Levison Dental Group Pc 9 Monroe Pkwy Suite 130 Lake Oswego OR 97035-1495 Ph: (503) 699-1809 |
NPI Number | 1245504950 |
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Provider Enumeration Date | 02/27/2012 |
Last Update Date | 02/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245504950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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