LEVI R EVALT

CORRY, PA
NPI1942488952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: PA  030493432)
Enumeration Date2008-02-01
Last Update Date2015-12-03
Business Address
Dr. LEVI R EVALT DDS
209 N CENTER ST
CORRY, PA 16407-1626
Phone number: 814-664-2012
Mailing Address
Dr. LEVI R EVALT DDS
209 N CENTER ST
CORRY, PA 16407-1626
Phone number: 814-664-2012