DR. Gary S Erickson, DDS

NPI #1114042710 in Bemidji, Minnesota

Provider Information

NPI Number: 1114042710
Entity Type: Individual
Name: DR. Gary S Erickson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 430 25TH STREET NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-0000
Phone: (218) 751-8626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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