DR. Jerry Dwayne Leavins, DDS

NPI #1679623052 in Vidor, Texas

Provider Information

NPI Number
1679623052
Entity Type
Individual
Name
DR. Jerry Dwayne Leavins, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
180 W BOLIVAR ST
City
Vidor
State
Texas
ZIP Code
77662-4849
Phone
(409) 769-5438

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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