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1528227121
LEAVITT FAMILY AND COSMETIC DENTISTRY
POCATELLO, ID
NPI
1528227121
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Entity Type
Organization
Authorized Contact
CASEY J. LEAVITT
Dr
208-233-6900
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2008-06-09
Last Update Date
2008-06-25
Business Address
LEAVITT FAMILY AND COSMETIC DENTISTRY
333 W CEDAR ST
POCATELLO, ID 83201
Phone number: 208-233-6900
Copy
Mailing Address
LEAVITT FAMILY AND COSMETIC DENTISTRY
333 W CEDAR ST
POCATELLO, ID 83201-5045
Phone number: 208-233-6900
Copy
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