Organization · Type 2 NPI
Leo J. Malin, D.d.s., S.c.
Dental Clinic/Center · Sparta, WI
NPI number
1861643017
Active
Practice location
3000 Riley Rd, Suite A
Sparta, WI 54656-6588
Fax (608) 269-0608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 4262 (WI) |
Dental Clinic/Center: Definition to come...
4 other providers at this address
Other dental clinic/center providers in Sparta
About NPI 1861643017
Leo J. Malin, D.d.s., S.c.'s National Provider Identifier is 1861643017, issued on Oct 7, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Sparta, WI. The record was last updated on Oct 7, 2008.