Gerald Russell Ledoux DDS

NPI 1083725451 - Dentist - 122300000X

NPI Details
NPI 1083725451
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2665 WEST CLAY
ST CHARLES MO, 63301, US
Phone (636) 916-4448
Fax (636) 946-5188
Business Location
2665 WEST CLAY
ST CHARLES MO, 63301, US
Phone (636) 916-4448
Fax (636) 946-5188
Toxanomy
Taxonomy Code 122300000X
License State Missouri
License Number 10572
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According to our database, Dr. Gerald Russell Ledoux DDS NPI is 1083725451, taxonomy code is 122300000X and license number is 10572, license state is located at Missouri. Gerald Russell Ledoux DDS physically located at 2665 West Clay, St Charles MO, 63301. NPI Number Gerald Russell Ledoux DDS has the Individual type.

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1083725451 NPI number is provided on an as is basis without warranty of any kind. 1083725451 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Russell Ledoux DDS are for informational purposes only.