Individual
DR. FREDERICK JAMES LEAVITT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1088 S BAILEY AVE, SOUTH HAVEN, MI 49090-9728
(269) 637-1306
(269) 637-8250
Mailing address
1088 S BAILEY AVE, SOUTH HAVEN, MI 49090-9728
(269) 637-1306
(269) 637-8250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012134
MI
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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