| NPI | 1073954822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN D ERICKSON Dentist 360-322-6934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7950) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2016-05-10 |