DR. Andrew G Ericksen, DDS

NPI #1811265143 in Holladay, Utah

Provider Information

NPI Number: 1811265143
Entity Type: Individual
Name: DR. Andrew G Ericksen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 1, 2011
Last Updated: Jul 28, 2016

Practice Location

Address: 2160 E 4500 S STE 3
Address 2: SAME
City: Holladay
State: Utah
ZIP Code: 84117-4499
Phone: (801) 277-9213

Specialties & Taxonomy Codes

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

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