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LEUTE LEOTA BDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1770045346

Individual Registrant:
 LEUTE  LEOTA BDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
96799 TURNER DRIVE  PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222  Fax: 684-633-1256

Contact information for business:
PO BOX LBJ  PAGO PAGO, AS 96799-0010 US
Tel: 684-633-1222  Fax: 684-633-1256

Registration Information:
NPI: 1770045346
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AS209-A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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