Jon Erickson

NPI #1699897645 in Danville, Indiana

Provider Information

NPI Number: 1699897645
Entity Type: Individual
Name: Jon Erickson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 23 S COUNTY ROAD 200 EAST
Address 2: STE B
City: Danville
State: Indiana
ZIP Code: 46122
Phone: (317) 745-4400

Specialties & Taxonomy Codes

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

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