NPI | 1881803468 |
---|---|
Other Name | LEAVITT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAMES BOYD LEAVITT President CEO 520-458-4060 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D3698) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |