Individual
DR. MARDEN KAHLE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
111 E 100 S, ST GEORGE, UT 84770-3428
(435) 673-6831
(435) 673-6840
Mailing address
111 E 100 S, ST GEORGE, UT 84770-3428
(435) 673-6831
(435) 673-6840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5956245
UT
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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