DR. Irwin Mark Leavitt, DDS

NPI #1700964707 in San Fernando, California

Provider Information

NPI Number: 1700964707
Entity Type: Individual
Name: DR. Irwin Mark Leavitt, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 567 SOUTH BRAND BLVD
City: San Fernando
State: California
ZIP Code: 91340-4001
Phone: (818) 365-9351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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