DR. Leo Mallek, D.M.D.

NPI #1265454359 in Earlysville, Virginia

Provider Information

NPI Number: 1265454359
Entity Type: Individual
Name: DR. Leo Mallek, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jul 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 690 BENT OAKS DR
City: Earlysville
State: Virginia
ZIP Code: 22936-0651
Phone: (434) 964-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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