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1699309856
MARC LEVICOFF
BRANDON, FL
NPI
1699309856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
Dr. MARC LEVICOFF DMD
313 S LAKEWOOD DR
BRANDON, FL 33511-2815
Phone number: 813-653-6100
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Mailing Address
Dr. MARC LEVICOFF DMD
16 GALENA CT
ERIAL, NJ 08081-4321
Phone number: 856-383-0673
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