DR. Jon T Erickson, D.D.S.

NPI #1033127378 in Fairmont, Minnesota

Provider Information

NPI Number: 1033127378
Entity Type: Individual
Name: DR. Jon T Erickson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 202 N PARK ST
City: Fairmont
State: Minnesota
ZIP Code: 56031-2824
Phone: (507) 238-2812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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