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1700964707
IRWIN MARK LEAVITT
SAN FERNANDO, CA
NPI
1700964707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 24312)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. IRWIN MARK LEAVITT DDS
567 SOUTH BRAND BLVD
SAN FERNANDO, CA 91340-4001
Phone number: 818-365-9351
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Mailing Address
Dr. IRWIN MARK LEAVITT DDS
567 SOUTH BRAND BLVD
SAN FERNANDO, CA 91340-4001
Phone number: 818-365-9351
Copy
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