Individual
LEDESHA MARIE DOROTHY MADURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
67184 GRATIOT AVE, RICHMOND, MI 48062-1914
(954) 298-3603
Mailing address
67184 GRATIOT AVE, RICHMOND, MI 48062-1914
(586) 727-5898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602045
MI
122300000X
Dentist
DN22776
FL
Other
Enumeration date
02/16/2016
Last updated
05/20/2024
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