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G. Pete Leseberg D.m.d.,p.a.
Oral and Maxillofacial Surgery Clinic/Center in Meridian, Idaho
NPI 1346572435

G. Pete Leseberg D.m.d.,p.a. is a Oral and Maxillofacial Surgery Clinic/Center based in Meridian, ID and is specialized in Oral and Maxillofacial Surgery. G. Pete Leseberg D.m.d.,p.a. practices in Meridian, ID. The NPI Number for G. Pete Leseberg D.m.d.,p.a. is 1346572435 and holds a License No. B-3163 (Idaho).

The current practice location address for G. Pete Leseberg D.m.d.,p.a. is 1550 N Crestmont Dr, Meridian, ID and can be reached out via phone at 208-884-0100 and via fax at 208-884-4844.

Location: 1550 N Crestmont Dr, Meridian, ID, 83642-2184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346572435
Provider Name
G. Pete Leseberg D.m.d.,p.a.
Credential
Provider Entity Type
Organization
Address
1550 N Crestmont Dr, Meridian, ID, 83642-2184
Phone Number
208-884-0100
Fax Number
208-884-4844
Provider Enumeration Date
02/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1550 N Crestmont Dr
City
Meridian
State
Idaho
Zip
83642-2184
Phone Number
208-884-0100
Fax Number
208-884-4844
person
Provider Business Mailing Address Details
Address
1550 N Crestmont Dr
City
Meridian
State
Idaho
Zip
83642-2184
Phone Number
208-884-0100
Fax Number
208-884-4844
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
B-3163 (Idaho)
Definition
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.
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