LAWRENCE M LEVIN DMD
Surgery Yellow Pages
Philadelphia, Pennsylvania
Provider NPI: 1104855634
Provider Information:LAWRENCE M LEVIN DMD
Practice Location:
3400 SPRUCE ST 5 WHITE BUILDING PHILADELPHIA, PA 19104 US
Tel: 215-662-3580 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 122300000X | Dental Providers Dentist | PA | DS025560L |
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | PA | MD421768 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0012815230001 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin