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Individual

EMMA LADDYNA HEDGPETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDA, EFDA

Contact information

Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5298
(541) 766-6835
Mailing address
153 S 6TH ST, LEBANON, OR 97355-2714
(541) 497-3818

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
000682
OR

Other

Enumeration date
08/06/2021
Last updated
03/31/2025
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