Mart D Erickson DDS PC
NPI #1164414470 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1164414470
- Entity Type
- Organization
- Organization Name
- Mart D Erickson DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 22, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1224 NE 7TH ST
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526
- Phone
- (541) 476-3419
Authorized Official
- Name
- DR. MARY D ERICKSON, DDS
- Title
- PRESIDENT DENTIST
- Phone
- (541) 476-3419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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