DR. Dana W. Ericksen, DDS

NPI #1417133851 in Fairfax, Virginia

Provider Information

NPI Number: 1417133851
Entity Type: Individual
Name: DR. Dana W. Ericksen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 16, 2008
Last Updated: Jan 16, 2008

Practice Location

Address: 3554 CHAIN BRIDGE RD
Address 2: SUITE 401
City: Fairfax
State: Virginia
ZIP Code: 22030-2709
Phone: (703) 385-3226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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