DR. Brent D. Erickson, D.M.D.

NPI #1568845535 in Grants Pass, Oregon

Provider Information

NPI Number: 1568845535
Entity Type: Individual
Name: DR. Brent D. Erickson, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 8, 2015
Last Updated: Jul 8, 2015

Practice Location

Address: 859 NE 7TH ST
City: Grants Pass
State: Oregon
ZIP Code: 97526-1634
Phone: (541) 474-0860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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