NPI 1366686099

Mary Catherine Ledesma, DDLD

Practitioner Denturist Salem, OR

Practice location

Address: 3969 Stanley Ln S, Salem, OR 97302-4762
Phone: (503) 362-6264

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-10125322 (OR)

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Registry record

NPI: 1366686099
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2009
Record last updated: 24 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.