Individual
DR. ANDREW HENRY LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D., P.S.
Contact information
Practice address
9101 BRIDGEPORT WAY SW, SUITE D, LAKEWOOD, WA 98499-2419
(253) 582-5196
(253) 582-5197
Mailing address
9101 BRIDGEPORT WAY SW, SUITE D, LAKEWOOD, WA 98499-2419
(253) 582-5196
(253) 582-5197
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00008478
WA
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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