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Individual

ERDA CARMEL PRADEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
3490 LANCASTER DR NE, SALEM, OR 97305-1356
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
(310) 276-4186

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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