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1164564464
JACK M LEVINE
NEW HAVEN, CT
NPI
1164564464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 4665)
Enumeration Date
2007-02-13
Last Update Date
2016-11-14
Business Address
-- JACK M LEVINE DDS
375 ORANGE ST
NEW HAVEN, CT 06511-6406
Phone number: 203-624-7571
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Mailing Address
-- JACK M LEVINE DDS
375 ORANGE ST
NEW HAVEN, CT 06511-6406
Phone number: 203-624-7571
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