NPI | 1255650115 |
---|---|
Former Legal Business Name | LEE & MELAZZO |
Entity Type | Organization |
Authorized Contact | LEON FRANK MELAZZO Owner 205-991-5343 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2010-05-18 |
Last Update Date | 2019-11-01 |