Individual
DR. JED LEDESMA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
118 NE JACKSON ST, GRANTS PASS, OR 97526-1644
(541) 476-4511
(541) 479-9006
Mailing address
118 NE JACKSON ST, GRANTS PASS, OR 97526-1644
(541) 476-4511
(541) 479-9006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8489
OR
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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