Leavitt, Irwin Mark
Leavitt, Irwin Mark is an individual health care provider with primary practice located at 567 South Brand Blvd , San Fernando CA 91340-4001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Leavitt, Irwin Mark can be contacted via phone (818) 365-9351.Contact Information
Primary practice address
567 South Brand Blvd
San Fernando CA 91340-4001
Phone: (818) 365-9351
Fax: (818) 365-6258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 24312 | California |
Profile Details
| NPI number | 1700964707 |
|---|---|
| LBN Legal business name | Leavitt, Irwin Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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