| NPI | 1588165526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOGDAN LEVITSKY Owner/Dentist 856-214-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02448700) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2019-08-01 |