Organization
KELLY EDWARDS PLLC
Active
Other names
Leavenworth Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAGDEV HEIR MD, DMD, FACS (CEO/PRESIDENT)
(518) 441-5483
Entity
Organization
Contact information
Practice address
11779 US HWY2, #201, LEAVENWORTH, WA 98826
(509) 548-5415
Mailing address
4170 TRUXEL ROAD STE C, SACRAMENTO, CA 95834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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