Provider Demographics
NPI:1003323130
Name:DANIELLE ABRAMO LEVI DDS INC
Entity Type:Organization
Organization Name:DANIELLE ABRAMO LEVI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:ABRAMO
Authorized Official - Last Name:LEVI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-439-7969
Mailing Address - Street 1:30 CALEDONIA ST STE B
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-2155
Mailing Address - Country:US
Mailing Address - Phone:415-332-4011
Mailing Address - Fax:415-332-9114
Practice Address - Street 1:30 CALEDONIA ST STE B
Practice Address - Street 2:
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-2155
Practice Address - Country:US
Practice Address - Phone:415-332-4011
Practice Address - Fax:415-332-9114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA524191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty