Leroy A Kamelchuk, DDS Valid NPI

Individual provider · Oral & Maxillofacial Surgery (D.M.D.) · Huntsville, AL

NPI

1528101698

Type

Individual (Type 1)

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204E00000X

License number

4438 (AL)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-02-15

Last updated

2012-08-16