DR. Sean Ericson, D.D.S.

NPI #1265860233 in Marion, Illinois

Provider Information

NPI Number: 1265860233
Entity Type: Individual
Name: DR. Sean Ericson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 29, 2013
Last Updated: Oct 29, 2013

Practice Location

Address: 1504 SIOUX DR
City: Marion
State: Illinois
ZIP Code: 62959-5209
Phone: (618) 997-0127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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