JACK M LEVINE

NEW HAVEN, CT
NPI1164564464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  4665)
Enumeration Date2007-02-13
Last Update Date2016-11-14
Business Address
-- JACK M LEVINE DDS
375 ORANGE ST
NEW HAVEN, CT 06511-6406
Phone number: 203-624-7571
Mailing Address
-- JACK M LEVINE DDS
375 ORANGE ST
NEW HAVEN, CT 06511-6406
Phone number: 203-624-7571
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