Jaimie Erickson

NPI #1861057622 in Moscow, Idaho

Provider Information

NPI Number
1861057622
Entity Type
Individual
Name
Jaimie Erickson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
May 7, 2019
Last Updated
May 7, 2019

Practice Location

Address
1215 E 6TH ST
City
Moscow
State
Idaho
ZIP Code
83843-3705
Phone
(208) 610-5103

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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