Leavitt Orthodontics
NPI #1821866682 in Pocatello, Idaho
Provider Information
- NPI Number
- 1821866682
- Entity Type
- Organization
- Organization Name
- Leavitt Orthodontics
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Dec 12, 2023
- Last Updated
- Dec 12, 2023
Practice Location
Authorized Official
- Name
- TYLER LEAVITT, DDS, MSD
- Title
- OWNER/DENTIST
- Phone
- (208) 240-5219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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