Individual
MRS. MARY CATHERINE LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDLD
Contact information
Practice address
3969 STANLEY LN S, SALEM, OR 97302-4762
(503) 362-6264
Mailing address
3969 STANLEY LN S, SALEM, OR 97302-4762
(503) 362-6264
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10125322
OR
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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