NATHAN ERIN LEAVITT

LEWISTON, ID
NPI1699125674
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4760)
Enumeration Date2016-06-21
Last Update Date2016-06-21
Business Address
-- NATHAN ERIN LEAVITT DDS
3326 4TH ST STE 1
LEWISTON, ID 83501-4455
Phone number: 208-746-2646
Mailing Address
-- NATHAN ERIN LEAVITT DDS
3326 4TH ST STE 1
LEWISTON, ID 83501-4455
Phone number: 208-746-2646
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