Individual
BRIANA LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
018002210
IL
1223G0001X
General Practice Dentistry
DS044057
PA
Other
Enumeration date
03/30/2022
Last updated
06/26/2023
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