Organization · Type 2 NPI

G. Pete Leseberg D.m.d.,p.a.

Oral and Maxillofacial Surgery Clinic/Center · Meridian, ID

NPI number 1346572435 Active

Practice location

1550 N Crestmont Dr, Ste G
Meridian, ID 83642-2184

Call (208) 884-0100 Map

Fax (208) 884-4844

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XB-3163 (ID)

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

20 other providers at this address

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About NPI 1346572435

G. Pete Leseberg D.m.d.,p.a.'s National Provider Identifier is 1346572435, issued on Feb 1, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Meridian, ID. The record was last updated on Feb 1, 2010.