Individual
ROBERT MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2675 IRVINE AVE, SUITE C, COSTA MESA, CA 92627-4653
(949) 548-8287
(949) 548-8076
Mailing address
2675 IRVINE AVE, SUITE C, COSTA MESA, CA 92627-4653
(949) 548-8287
(949) 548-8076
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
48747
CA
1223P0300X
Periodontics
56
OK
Other
Enumeration date
11/07/2005
Last updated
07/11/2008
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