JACOB GRANT LEAVITT

LEWISTON, ID
NPI1568191922
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-5418)
Enumeration Date2022-06-09
Last Update Date2022-06-09
Business Address
Dr. JACOB GRANT LEAVITT DMD
3326 4TH ST STE 1
LEWISTON, ID 83501-4455
Phone number: 208-746-2646
Mailing Address
Dr. JACOB GRANT LEAVITT DMD
3326 4TH ST STE 1
LEWISTON, ID 83501-4455
Phone number: 208-746-2646
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