Individual
ISELA GARCIA LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
619 E 7TH PL, MESA, AZ 85203-6313
(602) 625-6495
Mailing address
619 E 7TH PL, MESA, AZ 85203-6313
(602) 625-6495
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HO1919
AZ
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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