Individual
DR. KEVIN T LADESIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1403 WATERLOO AVE, WEST SALEM, WI 54669
(608) 786-0909
(608) 786-4999
Mailing address
1403 WATERLOO AVE, WEST SALEM, WI 54669
(608) 786-0909
(608) 786-4999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5788
WI
122300000X
Dentist
5788-015
WI
Other
Enumeration date
12/27/2006
Last updated
05/22/2009
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