Individual
JAMES LELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
445 MARCH AVE STE B, HEALDSBURG, CA 95448-3383
(707) 433-0231
Mailing address
445 MARCH AVE STE B, HEALDSBURG, CA 95448-3383
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
101931
CA
Other
Enumeration date
04/13/2017
Last updated
03/19/2024
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