Individual
ERICA RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12311 COPPER WAY STE 101, CHARLOTTE, NC 28277-3643
(704) 542-7170
Mailing address
2630 SOUTH BLVD APT 306, CHARLOTTE, NC 28209-1180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13844
NC
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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