Erickson Dmd PC

NPI #1821420720 in Casper, Wyoming

Provider Information

NPI Number: 1821420720
Entity Type: Organization
Organization Name: Erickson Dmd PC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Aug 1, 2013
Last Updated: Aug 1, 2013

Practice Location

Address: 932 S DAVID ST
City: Casper
State: Wyoming
ZIP Code: 82601-3738
Phone: (307) 237-8419

Authorized Official

Name: DR. KOLTON K ERICKSON, D.M.D.
Title: PRESIDENT
Phone: (307) 237-8419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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