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1104918358
THOMAS RUSSELL LEVICKAS
PASADENA, MD
NPI
1104918358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 4490)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Dr. THOMAS RUSSELL LEVICKAS D.D.S.
8025 RITCHIE HWY SUITE 205
PASADENA, MD 21122-1031
Phone number: 410-768-7740
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Mailing Address
Dr. THOMAS RUSSELL LEVICKAS D.D.S.
8025 RITCHIE HWY SUITE 205
PASADENA, MD 21122-1031
Phone number: 410-768-7740
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