Individual
DR. ANDRE CHRISTIAN LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7231 SW 63RD AVE, SOUTH MIAMI, FL 33143-4809
(305) 667-1191
Mailing address
17361 SW 290TH ST, HOMESTEAD, FL 33030-2588
(904) 472-6095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19058
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN19058
FL
Other
Enumeration date
08/11/2010
Last updated
08/03/2021
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