Individual
DR. LEIGH E AMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83209-8088
(208) 282-6000
(208) 282-4950
Mailing address
921 S 8TH AVE STOP 8088, POCATELLO, ID 83209-8088
(208) 282-6000
(208) 282-4950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3382-06
MS
1223G0001X
General Practice Dentistry
Primary
D3998
ID
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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