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Leute Leota, bds

Dentist, General Practice in Pago Pago, AS. Individual provider (NPI-1).

NPI number1770045346
StatusActive
Last updated in NPPESApr 3, 2019

Details

NPI
1770045346
Entity type
Individual (NPI-1)
Name
Leute Leota
Credential
bds
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2019
Last updated
Apr 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice209-AASYes

Other names

  • Leute Pio (Former Name)

Practice location

96799 Turner Drive
Pago Pago, AS 96799-0010

Phone 684-633-1222 · Fax 684-633-1256

Mailing address

Po Box Lbj
Pago Pago, AS 96799-0010

Phone 684-633-1222 · Fax 684-633-1256

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