Organization
BOSCOBEL FAMILY DENTAL CARE LLC
Active
Other names
Boscobel Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL LEDVINA DDS (DENTIST)
(920) 676-8384
Entity
Organization
Contact information
Practice address
105 E BLUFF ST, BOSCOBEL, WI 53805-1610
(608) 375-4549
Mailing address
105 E BLUFF ST, BOSCOBEL, WI 53805-1610
(608) 375-4549
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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