Individual
DR. STEPHEN EDWARD LEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1855
(208) 373-1856
Mailing address
672 S ASH ST, BOISE, ID 83702-6949
(507) 779-6475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5169
ID
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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