G. Pete Leseberg D.m.d.,p.a.

NPI #1346572435 in Meridian, Idaho

Provider Information

NPI Number
1346572435
Entity Type
Organization
Organization Name
G. Pete Leseberg D.m.d.,p.a.
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Feb 1, 2010
Last Updated
Feb 1, 2010

Practice Location

Address
1550 N CRESTMONT DR
Address 2
STE G
State
Idaho
ZIP Code
83642-2184
Phone
(208) 884-0100

Authorized Official

Name
MRS. KAMIE LUND
Title
OFFICE MANAGER
Phone
(208) 884-0100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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