Individual
DR. STEPHEN R LEAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3603 W COURT ST, PASCO, WA 99301-2709
(509) 547-8453
(509) 547-0425
Mailing address
3603 W COURT ST, PASCO, WA 99301-2709
(509) 547-8453
(509) 547-0425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008818
WA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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