Bryce D Leavitt DMD, MD

NPI 1093919417 - Oral & Maxillofacial Surgery - 204E00000X

NPI Details
NPI 1093919417
Gender Male
Enumeration Date 06/11/2007
Last Updated 08/08/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
2835 SAINT ROSE PKWY
SUITE 100
HENDERSON NV, 89052-4846, US
Phone (702) 685-3700
Fax (702) 685-3701
Business Location
2835 SAINT ROSE PKWY
SUITE 100
HENDERSON NV, 89052-4846, US
Phone (702) 685-3700
Fax
Toxanomy
Taxonomy Code 204E00000X
License State Minnesota
License Number D12476
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According to our database, Bryce D Leavitt DMD, MD NPI is 1093919417, taxonomy code is 204E00000X and license number is D12476, license state is located at Minnesota. Bryce D Leavitt DMD, MD physically located at 2835 Saint Rose Pkwy, Henderson NV, 89052-4846. NPI Number Bryce D Leavitt DMD, MD has the Individual type.

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1093919417 NPI number is provided on an as is basis without warranty of any kind. 1093919417 is maintained by the National Plan & Provider Enumeration System. The contents of Bryce D Leavitt DMD, MD are for informational purposes only.