Provider Demographics
NPI:1265521199
Name:LEVI, ROBIN TORNAI (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:TORNAI
Last Name:LEVI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2999 REGENT ST
Mailing Address - Street 2:SUITE 525
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2146
Mailing Address - Country:US
Mailing Address - Phone:510-548-5692
Mailing Address - Fax:510-848-6820
Practice Address - Street 1:2999 REGENT ST
Practice Address - Street 2:SUITE 525
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2146
Practice Address - Country:US
Practice Address - Phone:510-548-5692
Practice Address - Fax:510-848-6820
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA943151528OtherTAX ID #