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Individual
DR. JORDAN RAY LEDGER
Active
Individual
DR. JORDAN RAY LEDGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.028719
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
08856
IA
Other
Enumeration date
04/27/2011
Last updated
05/07/2021
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