Individual
DR. ERIN LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3326 4TH ST, SUITE 1, LEWISTON, ID 83501-4455
(208) 746-2646
(208) 746-8068
Mailing address
3326 4TH ST, SUITE 1, LEWISTON, ID 83501-4455
(208) 746-2646
(208) 746-8068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1971
ID
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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