DR. Tad Alan Erickson, D.D.S.

NPI #1083798805 in Oak Park, California

Provider Information

NPI Number
1083798805
Entity Type
Individual
Name
DR. Tad Alan Erickson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Oct 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
346 KANAN RD
Address 2
SUITE 101
ZIP Code
91377-1100
Phone
(818) 889-2254

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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