Nathan Erin Leavitt, DDS

NPI #1699125674 in Lewiston, Idaho

Provider Information

NPI Number: 1699125674
Entity Type: Individual
Name: Nathan Erin Leavitt, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 21, 2016
Last Updated: Jun 21, 2016

Practice Location

Address: 3326 4TH ST STE 1
City: Lewiston
State: Idaho
ZIP Code: 83501-4455
Phone: (208) 746-2646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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