DR. Jake Ericksen, DDS
NPI #1023683398 in Bellevue, Washington
Provider Information
- NPI Number
- 1023683398
- Entity Type
- Individual
- Name
- DR. Jake Ericksen, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 20, 2021
- Last Updated
- Jul 8, 2021
Practice Location
- Address
- 5611 119TH AVE SE STE 2
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98006-3799
- Phone
- (425) 746-6554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist |
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