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Leonard Maiolatesi
NPI 1942406269 · on the registry since 2007 · sole proprietor
Practice
- Address
- 9350 Highway 49
Gulfport, MS 39503 - Phone
- (228) 863-1859
- Organisation at this address
- Wal-Mart Stores East, Lp
Memorial Hospital At Gulfport
South Mississippi Smiles Dentistry LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi