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Individual

DR. GARY MALLOY LEDFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1935 E BATTLEFIELD, SUITE A, SPRINGFIELD, MO 65804-3801
(417) 889-5200
(417) 889-5200
Mailing address
1935 E BATTLEFIELD, SUITE A, SPRINGFIELD, MO 65804-3801
(417) 889-5200
(417) 889-5200

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015005
MO

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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