La Dental INC Levi Evalt DDS Dental Excellence
NPI #1114523487 in Corry, Pennsylvania
Provider Information
- NPI Number
- 1114523487
- Entity Type
- Organization
- Organization Name
- La Dental INC Levi Evalt DDS Dental Excellence
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 10, 2020
- Last Updated
- Dec 10, 2020
Practice Location
- Address
- 209 N CENTER ST
- City
- Corry
- State
- Pennsylvania
- ZIP Code
- 16407-1626
- Phone
- (814) 664-2012
Authorized Official
- Name
- LEVI ROBERT EVALT, DDS
- Title
- OWNER
- Phone
- (814) 664-2012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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