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Provider Information for 1003803065



NICK LEVI DDS

Gender: MALE

Individual NPI: 1003803065

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1003803065
Enumeration Date 2005-10-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 230 CALIFORNIA ST # S.200
SAN FRANCISCO, CA 94111-4301
United States

Phone: 415-433-4337 | Fax:
View Map External Link
Primary Practice Address 230 CALIFORNIA ST STE 200
SAN FRANCISCO, CA 94111-4301
United States

Phone: 415-433-4337 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 46867