ERIN LEAVITT

LEWISTON, ID
NPI1194838540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-1971)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
DR. ERIN LEAVITT
3326 4TH ST SUITE 1
LEWISTON, ID 83501-4455
Phone number: 208-746-2646
Mailing Address
DR. ERIN LEAVITT
3326 4TH ST SUITE 1
LEWISTON, ID 83501-4455
Phone number: 208-746-2646