Individual
DR. LEDJO PALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
375 WILLARD AVE, NEWINGTON, CT 06111-2300
(860) 665-0444
Mailing address
375 WILLARD AVE, NEWINGTON, CT 06111-2300
(860) 665-0444
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12803
CT
Other
Enumeration date
05/03/2017
Last updated
08/20/2020
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