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1043386824
LOUIS A ERICKSON
PROVO, UT
NPI
1043386824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 136096)
Enumeration Date
2006-11-25
Last Update Date
2007-07-08
Business Address
Dr. LOUIS A ERICKSON DDS
777 N 500 W SUITE 201 B
PROVO, UT 84601-1541
Phone number: 801-374-5100
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Mailing Address
Dr. LOUIS A ERICKSON DDS
777 N 500 W SUITE 201 B
PROVO, UT 84601-1541
Phone number: 801-374-5100
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