DR. Thomas Russell Levickas, D.D.S.

NPI #1104918358 in Pasadena, Maryland

Provider Information

NPI Number: 1104918358
Entity Type: Individual
Name: DR. Thomas Russell Levickas, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8025 RITCHIE HWY
Address 2: SUITE 205
City: Pasadena
State: Maryland
ZIP Code: 21122-1031
Phone: (410) 768-7740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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