| NPI | 1144254160 |
|---|---|
| Professional Name | LARRY W LEDDY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 9070) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |