MR. Lawrence Gerald Levine, DDS

NPI #1174702179 in Northridge, California

Provider Information

NPI Number: 1174702179
Entity Type: Individual
Name: MR. Lawrence Gerald Levine, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 26, 2007
Last Updated: Oct 26, 2007

Practice Location

Address: 8363 RESEDA BLVD
Address 2: #202
City: Northridge
State: California
ZIP Code: 91324-5908
Phone: (818) 885-0536

Specialties & Taxonomy Codes

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

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