| NPI | 1184962425 |
|---|---|
| Other Name | JACK DUNLEVY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401006907) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |