| NPI | 1033765029 |
|---|---|
| Doing Business As | LEVATA |
| Entity Type | Organization |
| Authorized Contact | ANJA MARIE HOFFSTROM President 906-242-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-07-20 |