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Individual
ERDA CARMEL PRADEL
Active
Individual
ERDA CARMEL PRADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
033975
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D10975
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D10975
OREGON BOARD OF DENTISTRY
OR
Enumeration date
11/19/2014
Last updated
06/11/2024
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