KEVIN T LADESIC

WEST SALEM, WI
NPI1669537924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  5788)
Additional Taxonomies122300000X Dentist
(Licence: WI  5788-015)
Enumeration Date2006-12-27
Last Update Date2009-05-22
Business Address
Dr. KEVIN T LADESIC DDS
1403 WATERLOO AVE
WEST SALEM, WI 54669
Phone number: 608-786-0909
Mailing Address
Dr. KEVIN T LADESIC DDS
1403 WATERLOO AVE
WEST SALEM, WI 54669
Phone number: 608-786-0909