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Organization
LEO J. MALIN, D.D.S., S.C.
Active
Organization
LEO J. MALIN, D.D.S., S.C.
Active
Other names
The Missing Tooth Solution
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO J. MALIN DDS (OWNER)
(608) 269-0607
Entity
Organization
Contact information
Practice address
3000 RILEY RD, SUITE A, SPARTA, WI 54656-6588
(608) 269-0607
(608) 269-0608
Mailing address
3000 RILEY RD, SUITE A, SPARTA, WI 54656-6588
(608) 269-0607
(608) 269-0608
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4262
WI
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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