Provider Demographics
NPI:1376633776
Name:STANLEY M LEVIN, DDS. GARY SLEFF DDS & RICHARD M. POLLOCK, DMD, LTD
Entity Type:Organization
Organization Name:STANLEY M LEVIN, DDS. GARY SLEFF DDS & RICHARD M. POLLOCK, DMD, LTD
Other - Org Name:DRS. LEVIN, LEFF & POLLOCK, LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-534-4884
Mailing Address - Street 1:311 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046
Mailing Address - Country:US
Mailing Address - Phone:703-534-4884
Mailing Address - Fax:703-534-3447
Practice Address - Street 1:311 PARK AVE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046
Practice Address - Country:US
Practice Address - Phone:703-534-4884
Practice Address - Fax:703-534-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty