Kurt Ericksen, DMD

NPI #1124683172 in Herriman, Utah

Provider Information

NPI Number
1124683172
Entity Type
Individual
Name
Kurt Ericksen, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
May 6, 2019
Last Updated
May 6, 2019

Practice Location

Address
5532 W HERRIMAN MAIN ST STE 210
State
Utah
ZIP Code
84096-5830
Phone
(801) 446-9533

Specialties & Taxonomy Codes

Specialty
Dentist

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