| NPI | 1780411215 |
|---|---|
| Doing Business As | LEDGEVIEW DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | COLE STOCKHEIMER Owner 920-819-1714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |