Individual
GEORGE RICHARD LEDVINA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9401 W BELOIT RD, #310, MILWAUKEE, WI 53227-4357
(414) 545-0147
Mailing address
9401 W BELOIT RD, #310, MILWAUKEE, WI 53227-4357
(414) 545-0147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0003062
WI
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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