Erickson Dental Care LLC
NPI #1780053249 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1780053249
- Entity Type
- Organization
- Organization Name
- Erickson Dental Care LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 15, 2015
- Last Updated
- Sep 15, 2015
Practice Location
- Address
- 1224 NE 7TH ST
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-1424
- Phone
- (541) 476-3419
Authorized Official
- Name
- DR. STEN M ERICKSON, DMD
- Title
- OWNER
- Phone
- (541) 476-3419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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