Individual
DR. LEO MALLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
690 BENT OAKS DR, EARLYSVILLE, VA 22936-0651
(434) 964-1116
Mailing address
690 BENT OAKS DR, EARLYSVILLE, VA 22936-0651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401-6021
VA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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