Individual
DR. DOUGLAS REID LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5867 MAYFIELD RD, MAYFIELD HTS, OH 44124-2931
(440) 442-3262
(440) 442-3264
Mailing address
5867 MAYFIELD RD, MAYFIELD HTS, OH 44124-2931
(440) 442-3262
(440) 442-3264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16446
OH
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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