Molly Phyllis Ericson

NPI #1699195669 in Elgin, Illinois

Provider Information

NPI Number
1699195669
Entity Type
Individual
Name
Molly Phyllis Ericson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 17, 2014
Last Updated
Oct 19, 2016

Practice Location

Address
1350 E CHICAGO ST
Address 2
SUITE 4
City
Elgin
ZIP Code
60120-4725
Phone
(847) 760-6100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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