Individual
DR. WILLIAM ROSS LEDOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 DALWILL DR, MANDEVILLE, LA 70471-3372
(985) 674-1500
(985) 674-9188
Mailing address
260 DALWILL DR, MANDEVILLE, LA 70471-3372
(985) 674-1500
(985) 674-9188
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2993
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116434
UNITED CONCORDIA
LA
05
—
1829935
—
LA
Enumeration date
08/18/2006
Last updated
07/09/2007
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